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Short- and long-term outcome of patients with spontaneous echo contrast or thrombus in the left atrial appendage in the era of the direct acting anticoagulants
ConclusionEven in the DOAC era, the occurrence of thrombus or SEC in the LAA is associated with a high rate of MACCE. Our study suggests that the choice of DOAC therapy may have an impact on long-term survival.Graphic abstract
Source: Clinical Research in Cardiology - November 1, 2021 Category: Cardiology Source Type: research

Heart valve surgery and the obesity paradox: A systematic review
SummaryObesity has been associated with increased incidence of comorbidities and shorter life expectancy, and it has generally been assumed that patients with obesity should have inferior outcomes after surgery. Previous literature has often demonstrated equivalent or even improved rates of mortality after cardiac surgery when compared to their lower-weight counterparts, coined the obesity paradox. Herein, we aim to review the literature investigating the impact of obesity on surgical valve interventions. PubMed and Embase were systematically searched for articles published from 1 January 2000 to 15 October 2021. A total o...
Source: Clinical Obesity - December 28, 2021 Category: Eating Disorders & Weight Management Authors: Ryaan EL ‐Andari, Sabin J. Bozso, Jimmy J. H. Kang, Alexandre M. A. Bedard, Corey Adams, Wei Wang, Jeevan Nagendran Tags: Review Article Source Type: research

Impact of preoperative atrial fibrillation on in-hospital outcomes of coronary artery bypass grafting
The objective of our study was to assess if preoperative AF in patients undergoing coronary artery bypass grafting is a predictor of operative mortality, postoperative stroke and need for postoperative dialysis by interrogating a large registry database.
Source: Seminars in Thoracic and Cardiovascular Surgery - July 13, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Daniel Paul Fudulu, Arnaldo Dimagli, Shubhra Sinha, James Ackah, Pradeep Narayan, Jeremy Chan, Marco Gemelli, Tim Dong, Umberto Benedetto, Gianni Davide Angelini Tags: ADULT – Original Submission Source Type: research

Females have an increased risk of short ‐term mortality after cardiac surgery compared to males: Insights from a national database
ConclusionFemales in the United Kingdom have an increased risk of short-term mortality after cardiac surgery compared to males. This highlights the need to focus on the understanding of the causes behind these disparities and implementation of strategies to improve outcomes in females.
Source: Journal of Cardiac Surgery - September 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Lauren Kari Dixon, Arnaldo Dimagli, Ettorino Di Tommaso, Shubhra Sinha, Daniel P. Fudulu, Manraj Sandhu, Umberto Benedetto, Gianni D. Angelini Tags: ORIGINAL ARTICLE Source Type: research

On ‐ versus off‐pump CABG in octogenarians: A propensity‐matched analysis from the UK National Database
ConclusionThe data show similar in-hospital mortality in octogenarians regardless of the revascularization technique used. Off-pump when compared with on-pump CABG is associated with a lower incidence in postoperative neurological events but a higher need for renal dialysis.
Source: Journal of Cardiac Surgery - November 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jeremy Chan, Arnaldo Dimagli, Daniel P. Fudulu, Tim Dong, Ester Mikova, Gianni D. Angelini Tags: ORIGINAL ARTICLE Source Type: research

Prophylactic LVAD for high ‐risk patients undergoing cardiac surgery
ConclusionsProphylactic LVAD is a viable technique in select cardiac surgery patients who are high-risk for postcardiotomy shock. Further prospective study is warranted.
Source: Journal of Cardiac Surgery - November 22, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Atul K. Jaidka, Sabe De, David Drullinsky, Atul Dave Nagpal, Michael W. A. Chu Tags: ORIGINAL ARTICLE Source Type: research

Center-Level Variation in Failure to Rescue Following Elective Adult Cardiac Surgery
CONCLUSIONS: The present findings affirm prior work demonstrating a close link between variation in FTR and mortality, but not complications. Further study is necessary to delineate modifiable care pathways that mitigate FTR.PMID:37031769 | DOI:10.1016/j.athoracsur.2023.03.034
Source: The Annals of Thoracic Surgery - April 9, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Arjun Verma Syed Shahyan Bakhtiyar Nikhil Chervu Joseph Hadaya Elsa Kronen Yas Sanaiha Peyman Benharash Source Type: research

Association between preoperative blood pressure and outcomes in cardiac surgery: results of a prospectively planned cohort study
CONCLUSIONS: High preoperative BP measured by ABP monitoring is a risk factor for postoperative complications in patients submitted to CABG.PMID:37255492 | DOI:10.23736/S0021-9509.23.12581-X
Source: The Journal of Cardiovascular Surgery - May 31, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Lucas Molinari Veloso da Silveira Sandra Costa Fuchs Gabriela Brendel Blum Leonardo Grabinski Bottino Fl ávio Danni Fuchs Source Type: research

Clinical outcomes of different revascularization approaches for patients with multi-vessel coronary artery disease: A network meta-analysis
CONCLUSIONS: ONCABG shows a better rank probability compared to all other techniques for preventing TVR, while RCAB offers greater freedom from most postoperative complications. However, given the absence of randomized controlled trials, these results should be interpreted with caution.PMID:37294619 | DOI:10.1177/02676591231182585
Source: Perfusion - June 9, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Syed Umar Hasan Alina Pervez Muhammad Wahdan Naseeb Bakhtawar Saleem Rajput Ariba Faheem Irbaz Hameed Michel Pompeu S á M Mujeeb Zubair Source Type: research

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