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Specialty: Cardiology
Condition: Pain

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Total 183 results found since Jan 2013.

Acute ischemic stroke mimicking acute coronary syndrome
An 87year-old female patient with a history of hypertension, atrial fibrillation, and stent insertion at the left anterior descending coronary artery in 2015 presented with chief complaint of chest pain that started one day prior to admission. Along with the chest pain, the patient also complained of dizziness and vomiting. Blood pressure at admission was 140/80mmHg and heart rate 84 beats per minute. Body temperature was 36.8°C. Routine laboratory studies showed increased level of troponin I (1.084ng/mL; reference value, 0–0.78ng/mL) but normal level of creatinine kinase myocardial band (CK-MB 3.61ng/mL; reference value, 0–5ng/mL).
Source: International Journal of Cardiology - June 22, 2016 Category: Cardiology Authors: Jun Soo Lee, Pyung Chun Oh, Kwang Kon Koh Source Type: research

Epidemiological characteristics, management and early outcomes of acute coronary syndromes in Greece: The PHAETHON study.
CONCLUSIONS: The PHAETHON study provided valuable insights into the epidemiology, management and outcome of ACS patients in Greece. Management of ACS resembles the management observed in other European countries. However, several issues still to be addressed by public authorities for the timely and proper management of ACS. PMID: 27451914 [PubMed - as supplied by publisher]
Source: Hellenic Journal of Cardiology - July 29, 2016 Category: Cardiology Tags: Hellenic J Cardiol Source Type: research

Dec 2 Cardiology News Dec 2 Cardiology News
Subclinical AF, chest-pain evaluation, proton-pump inhibitors and stroke risk, dabigatran-statin interactions, and Watchman are topics discussed by Dr John Mandrola in this week ' s podcast.theheart.org on Medscape
Source: Medscape Cardiology Headlines - December 2, 2016 Category: Cardiology Tags: Cardiology News Source Type: news

Incremental value of contrast echocardiography in the evaluation of a cardiac thrombus
A 52‐year‐old man presented with altered mental status and report of prior complaint of chest pain. On electrocardiography, anterolateral ST‐segment elevations with Q‐waves in the septal leads were seen. Initial echocardiography images demonstrated a thickened anteroseptum. Further imaging showed the presence of a well‐attached laminated apical thrombus. Contrast echocardiography images showed that the thrombus had minimal attachment to the endocardial surface. CT head subsequently showed the presence of acute stroke. The case demonstrates the additional value of contrast echocardiography in the evaluation of car...
Source: Echocardiography - November 30, 2016 Category: Cardiology Authors: Jose Ricardo F. Po, Matthew S. Tong, Erica L. Grove, Robert W. W. Biederman Tags: CHALLENGING CASES Source Type: research

Clinical and etiological study of atrial fibrillation in elderly in upper Assam
In this study the majority of the patients (78), i.e., 22.03% were in the age group of 61–70 years. Majority of the patients were female (58.19%). Males comprised of 41.81%. The common symptoms of atrial fibrillation in the patients were palpitation 85.31% and breathlessness 82.77%. Next common symptoms were fatigue 73.16%, PND 70.06% and swelling of dependant parts 68.93% respectively. Giddiness 57.91% and orthopnea 53.67% were the next common presenting symptoms. Chest pain was the presenting complaint in 22.32% cases and limb weakness or stroke in 7.34% cases. Involuntary movements 3.95% and sleep apnea 1.97% were amo...
Source: Journal of Indian College of Cardiology - February 9, 2017 Category: Cardiology Source Type: research

Analgesic medication with dipyrone in patients with coronary artery disease: relation to MACCE
In this study, we investigated the incidence of death, myocardial infarction (MI) or stroke in CAD patients with aspirin and dipyrone comedication as compared to aspirin-alone.
Source: International Journal of Cardiology - February 25, 2017 Category: Cardiology Authors: Alina Achilles, Annemarie Mohring, Lisa Dannenberg, Kerstin Piayda, Bodo Levkau, Thomas Hohlfeld, Tobias Zeus, Malte Kelm, Amin Polzin Source Type: research

Gut microbiota-dependent trimethylamine N-oxide in acute coronary syndromes: a prognostic marker for incident cardiovascular events beyond traditional risk factors
Conclusion</div>Plasma TMAO levels among patients presenting with chest pain predict both near- and long-term risks of incident cardiovascular events, and may thus provide clinical utility in risk stratification among subjects presenting with suspected ACS.</span>
Source: European Heart Journal - January 10, 2017 Category: Cardiology Source Type: research

Abstract 150: Machine Learning Methodology Predicts Comorbidities are Associated With Increased Total Healthcare Costs Among Patients With Severe Peripheral Artery Disease Session Title: Poster Session II
Conclusion: In this study, the presence of chronic ulcers in the lower extremities and CKD were two factors most predictive of increased all-cause total HC in a geographically diverse population of severe PAD patients.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Berger, J. S., Haskell, L., Ting, W., Lurie, F., Eapen, Z., Valko, M., Alas, V., Rich, K., Crivera, C., Schein, J. Tags: Session Title: Poster Session II Source Type: research

Painless Mini-Wellens Sign 5 Minutes after Exercise in a Man with Previously Undiagnosed Total Occlusion of the Left Anterior Descending and Right Coronary Arteries
A 60-year-old man with no coronary artery history and a normal resting electrocardiogram came to the hospital with his second stroke and underwent a treadmill exercise test before carotid endarterectomy. He had no chest pain and stopped because of leg pain. Five minutes after exercise he developed terminal T-wave inversion in leads V3 and V4 that lasted 7 minutes. The T-wave pattern resembled the Wellens pattern that has usually been seen after intense preinfarction rest pain and has usually lasted hours, days, or even weeks.
Source: The American Journal of Cardiology - September 5, 2017 Category: Cardiology Authors: Mazen M. Kawji, David Luke Glancy Source Type: research

Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation.
Abstract Esophageal perforation is a dreaded complication of atrial fibrillation ablation that occurs in 0.1% to 0.25% of atrial fibrillation ablation procedures. Delayed diagnosis is associated with the development of atrial-esophageal fistula (AEF) and increased mortality. The relationship between the esophagus and the left atrial posterior wall is variable, and the esophagus is most susceptible to injury where it is closest to areas of endocardial ablation. Esophageal ulcer seems to precede AEF development, and postablation endoscopy documenting esophageal ulcer may identify patients at higher risk for AEF. AEF...
Source: Circulation - September 26, 2017 Category: Cardiology Authors: Kapur S, Barbhaiya C, Deneke T, Michaud GF Tags: Circulation Source Type: research

Systematic Review of Treatment for Trapped Thrombus in Patent Foramen Ovale.
CONCLUSION: This systematic review showed that surgery was associated with a lower overall incidence of post-treatment embolic events and a lower 60-day mortality in patients with trapped thrombus in a PFO. In patients without initial shock or arrest, thrombolysis was related with a higher 60-day mortality compared with surgery. PMID: 28955396 [PubMed]
Source: Korean Circulation Journal - September 29, 2017 Category: Cardiology Tags: Korean Circ J Source Type: research

Clinical Characteristics, Management, and Outcomes of Suspected Poststroke Acute Coronary Syndrome.
Conclusion: Age and troponin level appear to play a role in the current clinical decision making for patient with suspected poststroke ACS. Troponin level appears to significantly correlate with 1-year all-cause mortality. In the management of poststroke acute coronary syndrome, optimal medical therapy had similar inpatient and all-cause mortality compared to PCI and/or CABG. PMID: 29130017 [PubMed]
Source: Cardiology Research and Practice - November 15, 2017 Category: Cardiology Authors: Biso SM, Lu M, De Venecia TA, Wongrakpanich S, Rodriguez-Ziccardi M, Yadlapati S, Kishlyansky M, Rammohan HS, Figueredo VM Tags: Cardiol Res Pract Source Type: research

Abstract 121: Anxiety and Depression in Patients With Fibromuscular Dysplasia: A Report From the US Registry for Fibromuscular Dysplasia Session Title: Poster Session AM
Conclusions: More than 1/3 of patients in the FMD registry had A, D, or both, and these patients showed multiple differences compared to patients without A/D. More study is required to understand this relationship. Given the high prevalence of A/D in this population, FMD patients should be screened for the presence of A/D and offered appropriate treatment.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Pawlik, C., Kline-Rogers, E., Olin, J. W., Gornik, H. L., Mace, P., Gu, X., Swan, K., Krallman, R., Kim, E. S., Wells, B. J., Weinberg, I., Sharma, A. M., Gray, B., Froehlich, J. B. Tags: Session Title: Poster Session AM Source Type: research

Coronary artery –left ventricular shunt: an important cause of chest pain in patients with hypertrophic cardiomyopathy
We examined the incidence of CA –LV shunts and their influence on CP in HCM patients. Twenty normal control subjects (NCS), 3 with CP due to CA–LV shunts (CP patients), and 60 with HCM participated. Interventricular septal wall thickness (IVST), LV posterior wall thickness (LVPWT), cardiac and stroke indexes (CI and SI), LV en d-diastolic pressure (LVEDP), and proximal diameters of the CA were measured. Twenty-five HCM patients had a CA–LV shunt (41.7%). Both IVST and LVPWT were greater in the HCM patients than in NCS and CP patients. These values showed no significant differences between the HCM with shunt and HCM w...
Source: Heart and Vessels - May 2, 2018 Category: Cardiology Source Type: research

The influence of progression of atrial fibrillation on quality of life: a report from the Euro Heart Survey
ConclusionAF progression is associated with a decrease in HRQoL. However, multivariate analysis revealed that AF progression itself does not have a negative effect on HRQoL, but that this effect can be attributed to a minor effect of the associated symptoms and a major effect of associated adverse events.
Source: Europace - July 19, 2017 Category: Cardiology Source Type: research