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Hemodynamic effects of etomidate, propofol and electrical shock in patients undergoing implantable cardioverter-defibrillator testing.
CONCLUSIONS: Propofol significantly decreased BP by both reducing cardiac output and causing vasodilatation whereas etomidate only slightly decreased dBP and mBP without affecting other parameters. Propofol-induced changes were independent of LVEF or NYHA class. Induction of VF and internal defibrillation did not cause clinically significant changes apart from very modest drop in dBP and mBP values. PMID: 24846355 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - May 20, 2014 Category: Cardiology Authors: Zgoła K, Kułakowski P, Czepiel A, Swiątkowski M, Makowska E, Błachnio E, Soszyńska M, Misiewicz M Tags: Kardiol Pol Source Type: research

Early neurological complications after transcatheter closure of atrial septal defect with nitinol wire mesh occluder.
Abstract Atrial septal defect (ASD) was closed percutaneously in an 18-year-old boy with a 27 mm nitinol wire mesh occluder according to standard procedures. Three hours after the procedure, he presented anxiety attacks, aggression, a vacant stare and a verbal/speaking disorder. Small ischaemic stroke localised in the right temporal/parietal region of the central nervous system was confirmed by computed tomography examination. Activated partial thromboplastin time was then 54 s despite continuous heparin infusion. Heparin dose was increased and symptomatic treatment was introduced (mannitol, furosemide, propofol, ...
Source: Polish Heart Journal - September 27, 2013 Category: Cardiology Authors: Heredia JD, Szkutnik M, Fiszer R, Zyła-Frycz M, Białkowski J Tags: Kardiol Pol Source Type: research