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Total 158228 results found since Jan 2013.

Outcome of Infants with Unrepaired Heart Disease Admitted to the Pediatric Intensive Care Unit: Single‐center Developing Country Perspective
Conclusion.Patients with CHD awaiting surgery and who admitted to the PICU with acute illness are at high risk for mortality. Stringent criteria to diagnose pneumonia or sepsis should be used in these patients.
Source: Congenital Heart Disease - May 7, 2013 Category: Cardiology Authors: Shazia Samad Mohsin, Anwarul Haque, Abdul Sattar Shaikh, Surraiya Bano, Babar Sultan Hasan Tags: Original Article Source Type: research

Cardiac Critical Care in Resource-Limited Environments Lessons from Tanzania
Publication date: September 2014 Source:Global Heart, Volume 9, Issue 3 Author(s): Pilly Chillo , Stephen H. Humphrey , John Meda , Vanessa B. Kerry The concept of cardiac critical care is emerging as a tool in the management of cardiovascular diseases in many Sub-Saharan African countries. The region is undergoing significant epidemiological transition. There remains a significant burden of infectious and nutritional disease, but cardiovascular disease, notably hypertension and coronary artery disease, as well as other noncommunicable diseases (NCD) are emerging rapidly, placing a double burden on existing healthcare sy...
Source: Global Heart - November 1, 2014 Category: Cardiology Source Type: research

Adult cardiac critical care at the King Abdulaziz Cardiac Center
Adult Cardiac Critical Cardiac Care division at the King Abdulaziz Cardiac Center – Riyadh, Saudi Arabia, was created in 2011 to address the critical care needs of cardiac surgery and adult cardiology patients that were beyond the scope of their specialties. The division offers its services in two semi-closed intensive care units consisting of 17 beds of Level 3 care. The concept and rationale behind this relatively new subspecialty and its organization in our center are presented in this brief report.
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Hussain, A., Mustafa, N., Al Ali, R., Almodaimegh, H. Tags: Articles Source Type: research

Moore's law, Dabbawalas, and pediatric cardiac care in Sri Lanka
Duminda SamarasingheAnnals of Pediatric Cardiology 2015 8(2):129-133Sri Lanka is an island nation in Indian Ocean that provides free healthcare to all citizens through government healthcare system. It has commendable health indices in the region. Pediatric cardiac services have rapidly progressed over past few years helping to further bring down infant and under-five mortality rates. Lady Ridgeway Hospital for Children (LRH) is the only tertiary care referral center for children with heart disease in the country. Currently it performs approximately 1,000 cardiac catheterizations and 1,000 cardiac surgeries every year. Targ...
Source: Annals of Pediatric Cardiology - May 18, 2015 Category: Cardiology Authors: Duminda Samarasinghe Source Type: research

Making a Case for the Heart Failure ICU - Differences in Characteristics and Care Between Critically Ill Cardiac Patients With and Without Heart Failure
There is increasing interest in the specialization of critical care delivery, bolstered by an emerging evidence base arguing that disease-specific intensive care units (ICUs) can improve both patient outcomes and healthcare costs. Though the burgeoning influence of critical illness within today’s cardiac ICU (CICU) was only recently acknowledged, some are already advocating for the creation of ICUs dedicated solely to the care of critically ill patients with acute heart failure (AHF). Little, however, is known about these patients and their unique critical care needs.
Source: Journal of Cardiac Failure - July 31, 2015 Category: Cardiology Authors: Jason N. Katz, Anthony Peters, Sarah Waters, Ian Hollis, Brian C. Jensen Tags: Quality of Care/Outcomes II Source Type: research

Feasibility of a Team Approach to Complex Congenital Heart Defect Neurodevelopmental Follow-Up: Early Experience of a Combined Cardiology/Neonatal Intensive Care Unit Follow-Up Program Innovations in Care
We present the development, implementation, and retrospective review of 1- and 2-year outcomes of a Complex Congenital Heart Defect Neurodevelopmental Follow-Up program. This program was a synergistic approach between the Pediatric Cardiology, Cardiothoracic Surgery, Pediatric Intensive Care, and Neonatal Intensive Care Unit Follow-Up teams to provide a feasible and responsible utilization of existing infrastructure and personnel, to develop and implement a program dedicated to children with congenital heart disease. Trained developmental testers administered the Ages and Stages Questionnaire-3 over the phone to the parent...
Source: Circulation: Cardiovascular Quality and Outcomes - July 18, 2016 Category: Cardiology Authors: Chorna, O., Baldwin, H. S., Neumaier, J., Gogliotti, S., Powers, D., Mouvery, A., Bichell, D., Maitre, N. L. Tags: Health Services, Quality and Outcomes Innovations in Care Source Type: research

Critical Care Management Focused on Optimizing Brain Function After Cardiac Arrest.
Abstract The discussion of neurocritical care management in post-cardiac arrest syndrome (PCAS) has generally focused on target values used for targeted temperature management (TTM). There has been less attention paid to target values for systemic and cerebral parameters to minimize secondary brain damage in PCAS. And the neurologic indications for TTM to produce a favorable neurologic outcome remain to be determined. Critical care management of PCAS patients is fundamental and essential for both cardiologists and general intensivists to improve neurologic outcome, because definitive therapy of PCAS includes both ...
Source: Circulation Journal - February 23, 2017 Category: Cardiology Authors: Nakashima R, Hifumi T, Kawakita K, Okazaki T, Egawa S, Inoue A, Seo R, Inagaki N, Kuroda Y Tags: Circ J Source Type: research

Critical Care Management of Acute Ischemic Stroke
Opinion statementIschemic stroke accounts for approximately 85% of all strokes. Although severe strokes constitute a minority of cases, they are associated with a majority of the subsequent disability and death. Reperfusion therapy with intravenous tissue plasminogen activator (tPA) and/or endovascular thrombectomy is a mainstay of acute stroke management. Intensive care management of stroke is focused on reducing complications of reperfusion, such as hemorrhagic transformation, and minimizing secondary brain injury, including brain edema and progressive stroke. Additionally, severe stroke patients frequently need ventilat...
Source: Current Treatment Options in Cardiovascular Medicine - May 2, 2017 Category: Cardiology Source Type: research

Efficacy of Prophylactic Dexmedetomidine in Preventing Postoperative Junctional Ectopic Tachycardia After Pediatric Cardiac Surgery Arrhythmia and Electrophysiology
BackgroundPostoperative junctional ectopic tachycardia is one of the most serious arrhythmias that occur after pediatric cardiac surgery, difficult to treat and better to be prevented. Our aim was to assess the efficacy of prophylactic dexmedetomidine in preventing junctional ectopic tachycardia after pediatric cardiac surgery.Methods and ResultsA prospective controlled study was carried out on 90 children who underwent elective cardiac surgery for congenital heart diseases. Patients were randomized into 2 groups. Group I (dexmedetomidine group): 60 patients received dexmedetomidine; Group II (Placebo group): 30 patients r...
Source: JAHA:Journal of the American Heart Association - March 1, 2017 Category: Cardiology Authors: El Amrousy, D. M., Elshmaa, N. S., El-Kashlan, M., Hassan, S., Elsanosy, M., Hablas, N., Elrifaey, S., El-Feky, W. Tags: Arrhythmias, Cardiopulmonary Resuscitation and Emergency Cardiac Care Original Research Source Type: research

Association Between Body Mass Index and Mortality in Patients Requiring Cardiac Critical Care.
CONCLUSIONS: Obesity was not associated with short-term mortality in patients requiring cardiac critical care. PMID: 30773520 [PubMed - as supplied by publisher]
Source: Circulation Journal - February 16, 2019 Category: Cardiology Authors: Na SJ, Park TK, Lee JM, Song YB, Choi JO, Hahn JY, Choi JH, Choi SH, Gwon HC, Chung CR, Jeon K, Suh GY, Ahn JH, Carriere KC, Yang JH Tags: Circ J Source Type: research

Incidence, underlying conditions, and outcomes of patients receiving acute renal replacement therapies in tertiary cardiac intensive care units: An analysis from the critical care cardiology trials network registry
ConclusionsThese data underscore the risks associated with the provision of renal support in patients with primary cardiovascular problems and the need to develop standardized indications and potential futility measures in this specialized population.
Source: American Heart Journal - January 16, 2020 Category: Cardiology Source Type: research

Shock Team Approaches in Managing Cardiogenic Shock —Intersection Between Critical Care and Advanced Heart Failure and Transplant Cardiology
AbstractPurpose of reviewThe goal of this review is to evaluate the interface between cardiogenic shock management and advanced heart failure therapy deployment.Recent findingsCardiogenic shock is an emergency, and rapid recognition should be the first step in management. Although early revascularization and mechanical support promote heart recovery, persistent severe cardiac dysfunction leading to inability to wean hemodynamic support happens in a majority of patients. A shock team approach to cardiogenic shock management has resulted in improved patient outcomes. The timely intervention of the advanced heart failure team...
Source: Current Treatment Options in Cardiovascular Medicine - July 13, 2020 Category: Cardiology Source Type: research

A Protocolized Approach for Dexmedetomidine Use in The Cardiac Intensive Care Unit
Dexmedetomidine is one of the sedative agents recommended by the Society of Critical Care Medicine (SCCM) as a preferred option over benzodiazepines in critically ill, mechanically ventilated patients. Its use has been associated with increased hypotension and bradycardia compared to alternative sedative agents, which may be particularly dangerous in patients in acute decompensated heart failure (ADHF). No recommendations exist for appropriate use of this agent in the cardiac intensive care unit (CICU) for which many patients may be vulnerable to its side effect profile.
Source: Journal of Cardiac Failure - September 30, 2020 Category: Cardiology Authors: Sarah K. Adie, Ahmad A. Abdul-Aziz, Scott W. Ketcham, Ran Lee Tags: 306 Source Type: research

Purulent pericardial effusion in children: Experience from a tertiary care center in North India
Conclusion: Echocardiography-guided percutaneous pericardiocentesis and pigtail catheter placement are a safe and effective treatment for purulent pericardial effusion. When pericardial drainage is not amenable, close monitoring of the size of effusion by serial echocardiography is required. Small residual pericardial effusion may be managed conservatively.
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Anika Agrawal Urmila Jhamb Arima Nigam Shipra Agrwal Romit Saxena Source Type: research