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Specialty: Cardiology
Condition: Pain

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Total 183 results found since Jan 2013.

Lipoprotein(a) apheresis in patients with peripheral arterial disease: rationale and clinical results
AbstractPatients with symptomatic peripheral arterial disease (PAD) are at a  very high risk of cardiovascular morbidity and mortality. Elevated lipoprotein(a) levels have been shown to be a risk factor for coronary artery disease (CAD) and stroke. More recently elevated lipoprotein(a) levels have also been demonstrated to be associated with prevalent and incident PAD, and even may be a stronger risk factor for PAD compared with CAD. Lipoprotein apheresis is currently the only efficient way to lower lipoprotein(a) levels. Lipoprotein(a) apheresis has been shown to reduce major coronary events in patients with CAD. There...
Source: Clinical Research in Cardiology Supplements - April 1, 2019 Category: Cardiology Source Type: research

The safety of morphine use in acute coronary syndrome: a meta-analysis
Conclusion The use of morphine for pain control in ACS was associated with an increased risk of in-hospital recurrent MI. Randomised clinical trials are needed to further investigate the safety of morphine in ACS.
Source: Heart Asia - March 19, 2019 Category: Cardiology Authors: Ghadban, R., Enezate, T., Payne, J., Allaham, H., Halawa, A., Fong, H. K., Abdullah, O., Aggarwal, K. Tags: Open access Original research Source Type: research

Lipoprotein(a) apheresis in patients with peripheral arterial disease: rationale and clinical results
AbstractPatients with symptomatic peripheral arterial disease (PAD) are at a  very high risk of cardiovascular morbidity and mortality. Elevated lipoprotein(a) levels have been shown to be a risk factor for coronary artery disease (CAD) and stroke. More recently elevated lipoprotein(a) levels have also been demonstrated to be associated with prevalent and incident PAD, and even may be a stronger risk factor for PAD compared with CAD. Lipoprotein apheresis is currently the only efficient way to lower lipoprotein(a) levels. Lipoprotein(a) apheresis has been shown to reduce major coronary events in patients with CAD. There...
Source: Clinical Research in Cardiology Supplements - March 14, 2019 Category: Cardiology Source Type: research

Transoesophageal echocardiography current practice in France: A multicentre study.
CONCLUSIONS: TOE is safe, with a low rate of complications and few stops for intolerance. A shorter TOE duration and better patient feelings were observed for experienced operators, highlighting the importance of the learning curve, and paving the way for teaching on a TOE simulator. PMID: 30539734 [PubMed - in process]
Source: Archives of Cardiovascular Diseases - December 1, 2018 Category: Cardiology Authors: Coisne A, Dreyfus J, Bohbot Y, Pelletier V, Collette E, Cescau A, Cariou E, Alexandrino C, Coulibaly S, Seemann A, Karsenty C, Theron A, Caspar T, Soulat-Dufour L, Ternacle J Tags: Arch Cardiovasc Dis Source Type: research

Morphine and Ticagrelor Interaction in Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: ATLANTIC-Morphine
ConclusionsMorphine-treatment was associated with increased GP IIb/IIIa inhibitor use, less pre-PCI TIMI 3 flow, and more bleeding. Judicious morphine use is advised with non-opioid analgesics preferred for non-severe acute pain.Trial Registrationclinicaltrials.gov identifier: NCT01347580.
Source: American Journal of Cardiovascular Drugs - October 23, 2018 Category: Cardiology Source Type: research

Safety and feasibility of returning patients immediately to their originating hospitals after primary percutaneous coronary intervention
ConclusionThe immediate return of low risk STEMI patients to their originating hospitals after PPCI is safe and feasible and is effective strategy to provide this prefer and effective re-perfusion therapy to vast majority of patients with STEMI.
Source: Journal of the Saudi Heart Association - October 5, 2018 Category: Cardiology Source Type: research

Echocardiographic profile of Congolese hypertensive patients.
CONCLUSIONS: Echocardiographic profile of the Congolese hypertensive is quite various, left ventricular hypertrophy is the most predominant abnormality. Efficient management on the hypertension will lead to reduce its morbidity and mortality. PMID: 30290912 [PubMed - as supplied by publisher]
Source: Annales de Cardiologie et d'Angeiologie - October 2, 2018 Category: Cardiology Authors: Ikama MS, Makani J, Nsitou BM, Mongo-Ngamami SF, Ellenga-Mbolla BF, Ondze-Kafata LI, Gombet TR, Kimbally-Kaky SG Tags: Ann Cardiol Angeiol (Paris) Source Type: research

Increased myocardial energy expenditure in cardiac syndrome X: More work, more pain.
CONCLUSION: This study demonstrated that MEE was greater in CSX patients compared with a control group. Increased MEE was determined to be an independent predictor of CSX. DTS was inversely correlated with MEE. Increased MEE may have a crucial role in CSX pathophysiology. PMID: 30204135 [PubMed - in process]
Source: Turk Kardiyoloji Dernegi arsivi - September 1, 2018 Category: Cardiology Authors: Çetin MS, Özcan Çetin EH, Canpolat U, Erdöl MA, Aydın S, Özcan Çelebi Ö, Temizhan A, Akın Y, Tüfekçioğlu O, Aras D, Topaloğlu S, Aydoğdu S Tags: Turk Kardiyol Dern Ars 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

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

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

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

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

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

Acute ischemic stroke what is hidden behind?
We present a case of a 58-year-old male patient that presented to ED with sudden onset of headache and left-sided hemiparesis, computed tomography (CT) demonstrated an ischemic stroke of the right middle cerebral artery. When the question of whether to start r-TPA or mechanical thrombectomy was discussed, a cardiac point-of-care ultrasound was performed in ED and showed a type A aortic dissection; immediately a CT aortic angiogram was performed and confirmed the diagnosis. The patient was taken to theater and had a favorable outcome. <Learning objective: Acute aortic dissection (AAD) may present as acute ischemic st...
Source: Journal of Cardiology Cases - August 31, 2017 Category: Cardiology Source Type: research