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Specialty: Cardiology

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Total 158228 results found since Jan 2013.

A Comparison of Cardiologist and Intensivist Clinical Assessment in Determining Type 1 Versus Type 2 Myocardial Infarction in a Critical Care Setting
Introduction: High sensitivity troponin has been critical in detecting both thrombotic myocardial injury (type 1 MI), and non-thrombotic myocardial injury (type 2 MI) caused by demand ischaemia. However non-specific troponin elevation in critical care settings creates a diagnostic dilemma in balancing the increased risks of invasive coronary assessment against misdiagnosis and incomplete revascularisation. Making this distinction relies on clinical assessment; however there is significant anecdotal discrepancy between cardiologists and intensivists.
Source: Heart, Lung and Circulation - June 23, 2019 Category: Cardiology Authors: S. Sivapathan, P. Jeyaprakash, K. Ellenberger, S. Orde, F. Pathan Tags: 336 Source Type: research

Association Between Post-procedure Intracardiac Pressures and the Use of Temporary Epicardial Pacing Wires After Pediatric Cardiac Surgery
This study aimed to examine the association between post-procedure intracardiac pressures and the use of temporary epicardial pacing wires. We performed a retrospective, case –control study at the pediatric intensive care unit of an urban regional tertiary hospital that included patients who had undergone congenital heart surgery between January 2015 and December 2016. We measured post-procedure intracardiac pressures, and data regarding baseline characteristics, proce dures performed, and intraoperative variables were collected as covariates. Of the 186 included patients, 34 (18.3%) were treated using temporary epicardi...
Source: Pediatric Cardiology - December 12, 2019 Category: Cardiology Source Type: research

Bedside Focused Cardiac Ultrasound in COVID-19 Infection From the Wuhan Epicenter: The Role of Cardiac Point of Care Ultrasound (POCUS), Limited Transthoracic Echocardiography and Critical Care Echocardiography
Three cases of the application of focused cardiac ultrasound in patients with COVID-19 infection are presented. Cardiac point-of-care ultrasound (POCUS), limited transthoracic echocardiography (TTE), and critical care echocardiography (CCE) were applied in cases of heart failure, pulmonary embolism, and myocarditis with thrombus respectively. The impact upon patient management and the global context of each presentation are discussed.
Source: Journal of the American Society of Echocardiography - April 9, 2020 Category: Cardiology Authors: Li Zhang, Bin Wang, Jianhua Zhou, James Kirkpatrick, Mingxing Xie, Amer M. Johri Source Type: research

Ultrasonography in the Critical Care Unit
This article summarizes the utility and evidence supporting the use of ultrasound exams in the intensive care unit.Recent FindingsPoint-of-care ultrasonography (POCUS) is widely used by intensivists managing critically ill patients whereby they can accurately and rapidly assess for many pathologies such as pneumothorax, pulmonary edema, hydronephrosis, hemoperitoneum, and deep vein thrombosis among others. Basic and advanced critical care echocardiography, including transesophageal echocardiography, are routinely performed to determine the etiology of hemodynamic instability in undifferentiated shock and to guide subsequen...
Source: Current Cardiology Reports - September 9, 2020 Category: Cardiology Source Type: research

Transfusion Strategies for Pediatric Cardiac Surgery: A Meta-Analysis and Trial Sequential Analysis
This study aimed to compare the effects of restrictive and liberal red blood cell (RBC) transfusion strategies on pediatric patients undergoing cardiac surgery, including cyanotic and non-cyanotic children. A literature search of the MEDLINE, EMBASE, PubMed, and the Cochrane Library database was conducted. Meta-analyses were carried out comparing restrictive and liberal transfusion strategies. Subgroup analyses were performed based on the basis of cyanotic status. Five randomized controlled trials with a total of 497 children were included. There was no significant difference in the risk of in-hospital mortality between th...
Source: Pediatric Cardiology - May 28, 2021 Category: Cardiology Source Type: research

The Use of Alveolar Dead Space Fraction to Predict Postoperative Outcomes after Pediatric Cardiac Surgery: A Retrospective Study
This study aimed to assess and compare changes in the alveolar dead space fraction (AVDSf) in the immediate postoperative period with outcomes in children with CHD who underwent repair on CPB. A single-center retrospective review study of critically ill children with CHD, younger than 18  years of age admitted to the Pediatric Intensive Care Unit (PICU) after undergoing surgical repair on CPB and received invasive mechanical ventilation for at least 24 h. One hundred and two patients were included in the study. Over the first 24 h, mean AVDSf was significantly higher in patients who had longer hospital length of stay (L...
Source: Pediatric Cardiology - July 9, 2021 Category: Cardiology Source Type: research

Automatic Critical Care Consultation Does Not Improve Outcomes For Patients Receiving Mechanical Ventilation In A Cardiac Intensive Care Unit Staffed By A Dedicated Heart Failure Specialist
The modern cardiac intensive care unit (CICU) cares for increasingly complex patients with multiorgan system dysfunction, often including respiratory failure. Preliminary data suggests that having an automatic critical care consultation for patients on mechanical ventilation may improve outcomes. Whether this dedicated consultation also improves outcomes in a closed CICU staffed by heart failure physicians is unknown.
Source: Journal of Cardiac Failure - April 1, 2022 Category: Cardiology Authors: Fathima Jahufar, Ushma Majmudar, Paul Kim, Saketh Parsi, Sandhya Murthy, Omar Saeed, Jooyoung J. Shin, Snehal Patel, Ulrich Jorde, Daniel Sims Tags: 114 Source Type: research

The Evaluation of Troponin I Levels and Myocarditis in Children with COVID-19: A Pediatric Single-Center Experience
AbstractChildren with COVID-19 usually show milder symptoms than adults; however, a minority of them may have cardiac involvement. We aimed to identify the role of troponin I levels that may predict early cardiac involvement in children with COVID-19. A single-center retrospective study was conducted to evaluate hospitalized children diagnosed with COVID-19 between March 11, 2020, and December 31, 2021. Patients with available troponin I levels and with no known cardiac disease were included. During the study period, 412 children with COVID-19 who had troponin I levels on admission were identified. Troponin levels were ele...
Source: Pediatric Cardiology - October 9, 2022 Category: Cardiology Source Type: research

Delivering pediatric cardiac care with limited resources
Raman Krishna KumarAnnals of Pediatric Cardiology 2014 7(3):163-166
Source: Annals of Pediatric Cardiology - September 16, 2014 Category: Cardiology Authors: Raman Krishna Kumar Source Type: research

A Survey on Critical Care Resources and Practices in Low- and Middle-Income Countries
Timely and appropriate care is the key to achieving good outcomes in acutely ill patients, but the effectiveness of critical care may be limited in resource-limited settings.
Source: CVD Prevention and Control - September 1, 2014 Category: Cardiology Authors: Marija Vukoja, Elisabeth Riviello, Srdjan Gavrilovic, Neill K.J. Adhikari, Rahul Kashyap, Satish Bhagwanjee, Ognjen Gajic, Oguz Kilickaya, CERTAIN Investigators Tags: Original Research Source Type: research

Acute Decompensated Heart Failure Patients Admitted to Critical Care Units: Insights from ASCEND-HF
Little is known about global patterns of critical care unit (CCU) care and the relationship with outcomes in patients with acute decompensated heart failure (ADHF). Whether a ward or a CCU admission is associated with better outcomes is unclear.
Source: International Journal of Cardiology - November 4, 2014 Category: Cardiology Authors: Sean van Diepen, Mohua Podder, Adrian F. Hernandez, Cynthia M. Westerhout, Paul W. Armstong, John J.V. McMurray, Zubin J. Eapen, Robert M. Califf, Randall C. Starling, Christopher M. O’Connor, Justin A. Ezekowitz Source Type: research

Partnership in healthcare: What can the west learn from the delivery of pediatric cardiac care in low- and middle-income countries
Seshadri Balaji, Raman Krishna KumarAnnals of Pediatric Cardiology 2015 8(1):1-3
Source: Annals of Pediatric Cardiology - January 19, 2015 Category: Cardiology Authors: Seshadri BalajiRaman Krishna Kumar Source Type: research

Non-critical care telemetry and in-hospital cardiac arrest outcomes
Telemetry is increasingly used to monitor hospitalized patients with lower intensities of care, but its effect on in-hospital cardiac arrest (IHCA) outcomes in non-critical care patients is unknown.
Source: Journal of Electrocardiology - February 7, 2015 Category: Cardiology Authors: Rami Mohammad, Sachil Shah, Elie Donath, Nicholas Hartmann, Ann Rasmussen, Shaun Isaac, Steven Borzak Source Type: research

Using Data to Improve Quality: the Pediatric Cardiac Care Consortium
Abstract A program to collect and analyze cardiac catheterization, electrophysiologic studies and cardiac operations in children was initiated in 1982. The purpose was to help centers compare their experience and outcomes with a group of centers to determine areas where their performance might improve. Cardiac centers became members of the Pediatric Cardiac Care Consortium and submitted demographic data and copies of procedure reports regularly to a central office. Data were extracted from the reports, coded by trained coders and entered into a computer database. Annually, the data were analyzed to compare the experience o...
Source: Congenital Heart Disease - October 8, 2015 Category: Cardiology Authors: James H. Moller Tags: Special Article Source Type: research