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Prognostic value of preoperative electrocardiography in predicting myocardial injury after vascular surgery
CONCLUSION: This study confirmed that preoperative ECG abnormalities are frequent in patients undergoing high-risk vascular surgery. However, we did not find evidence supporting relation between preoperative ECG abnormalities and postoperative adverse cardiac outcomes in high risk patients.PMID:35344585 | DOI:10.33963/KP.a2022.0085
Source: Polish Heart Journal - March 28, 2022 Category: Cardiology Authors: Dorota Studzi ńska Kamil Polok Barbara Rewerska Maksymilian Kotynia Piotr Rewerski Anna W łudarczyk Jacek G órka Mateusz K ózka Wojciech Szczeklik Source Type: research

Cost-effectiveness of a photopethysmographic procedure for screening for atrial fibrillation in 6 European countries
ConclusionThe model results showed a strong dependence of the results on the country-specific costs for stroke treatment. The use of the investigated screening method is close to cost-neutral or cost-reducing in the Western European countries and Greece. In countries with low price levels, higher cost increases due to AF screening are to be expected. Lower costs of anticoagulation, which are expected due to the upcoming patent expiry of direct anticoagulants, have a positive effect on the cost result.
Source: Health Economics Review - February 26, 2022 Category: International Medicine & Public Health Source Type: research

More for less - Long-Term Survival Modelling for Surgical Aortic Valve Replacement follow-up. The division between a ministernotomy and a full sternotomy approach
CONCLUSIONS: MIAVR through ministernotomy provides at least as good long-term survival as FSAVR. Nevertheless, it should be recommended for diabetic, poor mobility patients with pre-existing AF in order to reduce their high cerebrovascular risk and to limit the progression of HF. MIAVR also needs to be considered in patients with chronic lung diseases to improve their extremely poor survival prognosis.PMID:35188218 | DOI:10.33963/KP.a2022.0056
Source: Polish Heart Journal - February 21, 2022 Category: Cardiology Authors: Marcin Kaczmarczyk Marian Zembala Aleksandra Kaczmarczyk Krzysztof Filipiak Tomasz Hrapkowicz Jerzy Pacholewicz Micha ł Zembala Source Type: research

Adherence to the 4S-AF Scheme in the Balkan region: insights from the BALKAN-AF survey
CONCLUSIONS: OAC overuse was observed in patients with low stroke risk, whilst OAC underuse was evident in those with high risk of stroke. The percentage of highly symptomatic patients with high risk of stroke who were offered rhythm control strategy was low.PMID:35176169 | DOI:10.33963/KP.a2022.0053
Source: Polish Heart Journal - February 17, 2022 Category: Cardiology Authors: Monika Kozie ł-Siołkowska Miroslav Mihajlovic Milan Nedeljkovic Nikola Pavlovic Vilma Paparisto Ljilja Music Elina Trendafilova Anca Rodica Dan Zumreta Kusljugic Gheorghe-Andrei Dan Gregory Yh Lip Tatjana S Potpara Source Type: research

Optimal anticoagulation in elderly patients with atrial fibrillation: Which drug at which dose?
Kardiol Pol. 2022 Feb 15. doi: 10.33963/KP.a2022.0046. Online ahead of print.ABSTRACTAging is an important risk factor of adverse events in elderly patients with atrial fibrillation (AF) and complicates the management of anticoagulation. Underuse of oral anticoagulants (OACs) is common in elderly patients because of comorbidities, altered physiological function of multiple organs, fragile features, risk of falls, and the lack of randomized controlled trials (RCTs) specifically for elderly patients. Nevertheless, current data still support OACs use for reducing ischemic stroke with positive net clinical benefits. Sub-analys...
Source: Polish Heart Journal - February 15, 2022 Category: Cardiology Authors: Jo-Nan Liao Yi-Hsin Chan Ling Kuo Chuan-Tsai Tsai Su-Shen Lim Tze-Fan Chao Source Type: research

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