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Condition: Heart Failure
Procedure: Heart Valve Surgery

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Total 447 results found since Jan 2013.

Long-term cardiac remodeling associated with heart failure following left-ventricular valve replacement surgery: A retrospective study
To investigate long-term cardiac remodeling and prognosis of patients post-left-ventricular valve replacement, and explored related risk factors of heart failure and management strategies. Retrospective cohort of patients with left-ventricular valve replacement between 2005 and 2007. Major adverse cardiac events were recorded, including death, hospitalization, stroke, and New York Heart Association (NYHA) functional classifications. Cardiac remodeling was assessed by comparing pre-operative, post-operative, and follow-up echocardiographic images. (1)Two hundred fifty-seven patients who received left-ventricular mitra...
Source: Medicine - July 30, 2021 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

New frontiers for improving outcomes after transcatheter aortic valve implantation: the role of the conduction system and the impact of pacemakers
Transcatheter aortic valve implantation (TAVI) is at least as safe and effective as surgical aortic valve replacement (SAVR) in patients with severe symptomatic aortic stenosis for the endpoints of all-cause mortality, stroke and heart failure hospitalizations across the spectrum of surgical risk1,2. Despite iterative advances in technology and refinements in procedural technique, conduction disturbances are not infrequent and occur more commonly after TAVI than after surgery. In the most recent low-risk randomized trials2,3 comparing TAVI to SAVR, the rates of permanent pacemaker implantation (PPI) were 6.6% with the ball...
Source: Heart Rhythm - August 18, 2021 Category: Cardiology Authors: Yousif Ahmad, Raj Makkar Source Type: research

Early Discharge After Minimally Invasive Aortic and Mitral Valve Surgery
CONCLUSIONS: In well-selected patients, early discharge after minimally invasive valve surgery was associated with lower costs but comparable postoperative outcomes. About one fifth of patients who remain in the hospital beyond postoperative day 3 may be candidates for earlier discharge.PMID:34419437 | DOI:10.1016/j.athoracsur.2021.07.047
Source: The Annals of Thoracic Surgery - August 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marlena E Sabatino Alexis K Okoh Joshua C Chao Cassandra Soto Jigesh Baxi Lauren A Salgueiro Anna Olds Hirohisa Ikegami Anthony Lemaire Mark J Russo Leonard Y Lee Source Type: research

Temporal Trends and Outcomes of Elective Thoracic Aortic Repair and Acute Aortic Syndromes in Bicuspid Aortic Valves: Insights from a National Database
ConclusionData from a national database showed no change in the number of hospitalizations for BAV-related aortopathy, with relatively lower incidence of AAS. Compared with TAV, elective aortic repair for BAV is associated with lower mortality, while BAV-related AAS is associated with higher in-hospital complications.
Source: Cardiology and Therapy - August 24, 2021 Category: Cardiology Source Type: research

Commentary: Short-term pain, long-term gain with left ventricular function after mitral valve repair
Mitral regurgitation is a common disorder with serious consequences for patient morbidity, including arrhythmias, heart failure, and stroke, as well as mortality.1 For acceptable-risk patients with severe, symptomatic disease or evidence of left ventricular (LV) dysfunction, surgical repair at a center of excellence is widely accepted as the gold standard therapy2; however, no formal recommendations for optimal repair strategies exist, likely due to the multiple and complex phenotyping of primary mitral valve disease.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Clancy W. Mullan, Arnar Geirsson Tags: Commentary Source Type: research

Rest and exercise oxygen uptake and cardiac output changes 6  months after successful transcatheter mitral valve repair
ConclusionsThese data confirm pMVR-induced clinical improvement and reverse ventricular remodelling at a 6-month analysis and show, in spite of an increase in CO, an unchanged exercise performance, which is achieved through a ‘more physiological’ blood flow distribution and O2 extraction behaviour. Direct rest and exercise CO should be measured to assess pMVR efficacy.
Source: ESC Heart Failure - September 22, 2021 Category: Cardiology Authors: Carlo Vignati, Fabiana De Martino, Manuela Muratori, Elisabetta Salvioni, Gloria Tamborini, Antonio Bartorelli, Mauro Pepi, Francesco Alamanni, Stefania Farina, Gaia Cattadori, Valentina Mantegazza, Piergiuseppe Agostoni Tags: Original Research Article Source Type: research

Predictors of Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting: A Prospective Cohort Study
ConclusionThere are a wide range of significant epidemiological, clinical, and operative predictors for the development of post-CABG AF including older age, female gender, large LA diameter, higher CHA2DS2-VASc score, valve replacement and postoperative inotropic support. Nevertheless, further large-scale studies are still needed to confirm our findings.
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

The Global Impact of Rheumatic Heart Disease
AbstractPurpose of ReviewRheumatic heart disease (RHD) is a neglected disease of poverty, which presents challenges for patients, communities, and health systems. These effects are magnified in low resource countries, which bear the highest disease burden. When considering the impact of RHD, it is imperative that we widen our lens in order to better understand how RHD impacts the over 40 million people currently living with this preventable condition and their communities. We aimed to perform an updated literature review on the global impact of RHD, examining a broad range of aspects from disease burden to impact on health...
Source: Current Cardiology Reports - October 1, 2021 Category: Cardiology Source Type: research

Benefit of early aortic valve surgery in asymptomatic, severe AS
Nature Reviews Cardiology, Published online: 24 November 2021; doi:10.1038/s41569-021-00656-8Early surgical aortic valve replacement in asymptomatic patients with severe aortic stenosis reduces the risk of all-cause death, acute myocardial infarction, stroke or unplanned hospitalization for heart failure compared with conservative care and surgical aortic valve replacement only after symptom onset, according to findings from the AVATAR trial.
Source: Nature Reviews Cardiology - November 24, 2021 Category: Cardiology Authors: Irene Fern ández-Ruiz Source Type: research

The Prognostic Utility of Invasive Right Heart Catheterization in Patients Prior to Transcatheter Aortic Valve Replacement
CONCLUSIONS: Preprocedural invasive RHC provides useful prognostic information. A comprehensive invasive hemodynamic assessment should be considered for risk stratification in patients undergoing TAVR.PMID:34866047
Source: The Journal of Invasive Cardiology - December 6, 2021 Category: Cardiology Authors: Jesse Goitia Derek Q Phan Ming-Sum Lee Naing Moore Prakash Mansukhani Vicken Aharonian Somjot S Brar Ray Zadegan Source Type: research