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Right Ventricular Function Suffers From Reperfusion Delay: Tissue Doppler StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, impact of reperfusion delay on adverse cardiac events and right ventricular (RV) function in patients with acute right ventricular myocardial infarction (RVMI) was assessed. In 70 patients with RVMI, RV function was assessed by M-mode tricuspid annular plane systolic excursion (TAPSE) and by pulsed wave tissue Doppler echocardiography (TDE). Right ventricular early (E[prime]T) and late diastolic (A[prime]T), peak systolic tricuspid annular velocity, (S[prime]T) and right ventricular myocardial performance index (RVMPI) were measured. Patients were divided into 2 groups according to the time between the onset...
Source: Clinical Cardiology - February 2, 2010 Category: Cardiology Authors: Michal Kidawa, Jaroslaw D. Kasprzak, Tomasz Wierzchowski, Maria Krzeminska-Pakula Source Type: journals

Prognostic significance of new onset atrial fibrillation in acute coronary syndrome patients treated conservatively.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: New onset of AF is associated with excessive in-hospital mortality in acute coronary syndrome patients staying on conservative treatment in community hospitals without on-site invasive facilities. PMID: 20104458 [PubMed - in process] (Source: Cardiology Journal)
Source: Cardiology Journal - January 30, 2010 Category: Cardiology Authors: Dziewierz A, Siudak Z, Rakowski T, Jakała J, Dubiel JS, Dudek D Tags: Cardiol J Source Type: journals

Med Sci Monit 2010; 16(2):CR67-74 "Prognosis in diabetic patients with acute myocardial infarction treated invasively is related to renal function"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The prognosis in diabetics with AMI is significantly related to renal function. Diabetics without CKD had similar prognosis to non-diabetics. Multivariate analyses showed that unlike diabetes without renal dysfunction, DM-CKD was an independent risk factor for cardiovascular complications and total mortality. (Source: Medical Science Monitor)
Source: Medical Science Monitor - January 29, 2010 Category: Research Tags: Original article Source Type: journals

Extracorporeal membrane oxygenation for refractory cardiogenic shock after cardiac surgery: predictors of early mortality and outcome from 51 adult patients [Original articles]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: ECMO provides a good temporary cardiopulmonary support in patients with postcardiotomy shock. The preoperative risk factors of failure to withdraw ECMO are poor left-ventricular ejection fraction, systolic blood pressure <90 mmHg and refractory severe metabolic acidosis. The peri-ECMO predictors of mortality include low serum albumin level, low platelet count, low oxygen pressure of the venous tube of the ECMO and poor cardiac systolic function. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 28, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Hsu, P.-S., Chen, J.-L., Hong, G.-J., Tsai, Y.-T., Lin, C.-Y., Lee, C.-Y., Chen, Y.-G., Tsai, C.-S. Tags: Congestive Heart Failure, Extracorporeal circulation, Mechanical Circulatory Assistance, Myocardial infarction Original articles Source Type: journals

Percutaneous Extracorporeal Membrane Oxygenation for Cardiogenic Shock Due to Acute Fulminant Myocarditis [CASE REPORTS]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a favorable outcome of an acute fulminant myocarditis in a 25-year-old myasthenia patient with cardiogenic shock supported by percutaneous extracorporeal membrane oxygenation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 27, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Fayssoil, A., Nardi, O., Orlikowski, D., Combes, A., Chastre, J., Annane, D. Tags: Mechanical Circulatory Assistance CASE REPORTS Source Type: journals

Early and late outcomes of 517 consecutive adult patients treated with extracorporeal membrane oxygenation for refractory postcardiotomy cardiogenic shockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Extracorporeal membrane oxygenation support is an acceptable option for patients with postcardiotomy cardiogenic shock who otherwise would die and is justified by good long-term outcome of hospital survivors. Because of high morbidity and mortality, extracorporeal membrane oxygenation must be decided by individual risk profile. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - January 25, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Ardawan Julian Rastan, Andreas Dege, Matthias Mohr, Nicolas Doll, Volkmar Falk, Thomas Walther, Friedrich Wilhelm Mohr Tags: Acquired Cardiovascular Disease Source Type: journals

The Glucogram: A New Quantitative Tool for Glycemic Analysis in the Surgical Intensive Care UnitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The glucogram was able to quantify the correlation between AHS and major clinical events with sensitivity of 84% and specificity of 65%. In addition, mean glycemic variability was nearly two times higher for non-survivors. The glucogram may be useful both clinically (i.e., in the electronic ICU) and as a research tool (i.e., in bioinformatic model development). Results of this study provide a foundation for further, larger-scale, multi-parametric, prospective glucogram evaluations. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - January 25, 2010 Category: Surgery Authors: S.P. Stawicki, D. Schuster, J.F. Liu, J. Kamal, S. Erdal, A.T. Gerlach, M.L. Whitmill, D.E. Lindsey, Y.M. Thomas, C. Murphy, S.M. Steinberg, C.H. Cook Source Type: journals

QTc prolongation during therapeutic hypothermia: are we giving it the attention it deserves?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our series illustrates QTc prolongation during TH. This carries potential for refibrillation. Guidelines on ECG monitoring during TH are needed, especially since hypothermic myocardium is intrinsically prone to arrhythmias and commonly used antiarrythmic drugs such as amiodarone can prolong the QTc. (Source: Europace)
Source: Europace - January 20, 2010 Category: Cardiology Authors: Khan, J. N., Prasad, N., Glancy, J. M. Tags: Electrocardiography and Risk Stratification Source Type: journals

No Major Differences in 30-Day Outcomes in High-Risk Patients Randomized to Off-Pump Versus On-Pump Coronary Bypass Surgery. The Best Bypass Surgery Trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions-Both off- and on-pump coronary artery bypass grafting can be performed in high-risk patients with low short-term complications. Clinical Trial Registration-clinicaltrials.gov. Identifier: NCT00120991. PMID: 20083683 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - January 18, 2010 Category: Cardiology Authors: Møller CH, Perko MJ, Lund JT, Andersen LW, Kelbæk H, Madsen JK, Winkel P, Gluud C, Steinbrüchel DA Tags: Circulation Source Type: journals

Simultaneous Pulmonary Embolectomy and Aortic Root ReplacementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 501-503DOI: 10.1055/s-0029-1185392AbstractMassive pulmonary embolism (PE) is characterized by hypotension and cardiogenic shock due to right ventricular failure, and is associated with a high mortality rate. In this case study, we report a simultaneous pulmonary embolectomy and aortic root replacement in a 71-year-old woman with a known ascending aortic aneurysm who sustained a massive PE following a VATS left upper lobectomy for non-small cell lung cancer.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thor...
Source: The Thoracic and Cardiovascular Surgeon - January 14, 2010 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: journals

Fatal carbamazepine induced fulminant eosinophilic (hypersensitivity) myocarditis: Emphasis on anatomical and histological characteristics, mechanisms and genetics of drug hypersensitivity and differential diagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of hypersensitivity myocarditis secondary to administration of carbamazepine. Acute hypersensitivity myocarditis was not suspected clinically, and the diagnosis was made post-mortem. Histology revealed diffuse infiltration of the myocardium by eosinophils and lymphocytes with myocyte damage. Clinically, death was due to cardiogenic shock. To best of our knowledge this is the second case of fatal carbamazepine induced myocarditis reported in English literature. (Source: Journal of Forensic and Legal Medicine)
Source: Journal of Forensic and Legal Medicine - January 11, 2010 Category: Forensic Medicine Authors: Nebojsa Arsenovic, Loraine Sheehan, David Clark, Ricardo Moreira Tags: Reviews Source Type: journals

Hematocrit Level as a Marker of Outcome in ST-Segment Elevation Myocardial InfarctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, although not as strong a predictor of mortality as anemia, erythrocytosis might be associated with increased short-term mortality compared to a normal hematocrit. The measurement of hematocrit can be used as a useful prognostic marker in patients with STEMI. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - January 7, 2010 Category: Cardiology Authors: Gabriel Greenberg, Abid Assali, Hanna Vaknin-Assa, David Brosh, Igal Teplitsky, Shmuel Fuchs, Alexander Battler, Ran Kornowski, Eli I. Lev Tags: Coronary Artery Disease Source Type: journals

A Methodology for Prediction of Acute Hypotensive Episodes in ICU via a Risk Scoring Model including Analysis of ST-Segment VariationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Absract  The aim of this study is to detect Acute Hypotensive Episodes (AHE) and Mean Arterial Pressure Dropping Regimes (MAPDRs) using ECG signal and Arterial Blood Pressure waveforms. To meet this end, the QRS complexes and end-systolic end-diastolic pulses are first extracted using two innovative Modified Hilbert Transform-Based algorithms namely as ECGMHT and BPMHT. A new smoothing algorithm is next developed based on piecewise polynomial fitting to smooth the fast fluctuations observed in RR-tachogram, systolic blood pressure (SBP) and diastolic blood pressure (DBP) trends. Afterwards, in order to consid...
Source: Cardiovascular Engineering - January 6, 2010 Category: Cardiology Tags: Cardiovascular Engineering Source Type: journals

Does the Early Administration of Beta-blockers Improve the In-hospital Mortality Rate of Patients Admitted with Acute Coronary Syndrome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This systematic review failed to demonstrate a convincing in-hospital mortality benefit for using beta-blockers early in the course of patients with an acute or suspected MI. ACADEMIC EMERGENCY MEDICINE 2010; 17:1[ndash]10 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - January 4, 2010 Category: Emergency Medicine Authors: Ethan Brandler, Lorenzo Paladino, Richard Sinert Tags: Progressive Clinical Practice Source Type: journals

Case report Aortic thrombosis as a complication of intraaortic balloonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intra-aortic balloon counterpulsation is often used in critically ill patients with cardiac disease. Commonly accepted indications for its use include cardiogenic shock and mechanical complications of acute myocardial infarction (e.g. ventricular septal defect). The potential benefits of counterpulsation must be weighed against its possible severe thrombotic and hemorrhagic complications. Here we describe a 72-year old female with interventricular septum rupture complicating the course of acute myocardial infarction, in whom the intra-aortic balloon was used to stabilize the circulation prior to the surgery. Despite antico...
Source: Articles of Archives of Medical Science - TERMEDIA publishing house - December 30, 2009 Category: Journals (General) Source Type: journals

CASE REPORTS: Aortic thrombosis as a complication of intraaortic balloonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intra-aortic balloon counterpulsation is often used in critically ill patients with cardiac disease. Commonly accepted indications for its use include cardiogenic shock and mechanical complications of acute myocardial infarction (e.g. ventricular septal defect). The potential benefits of counterpulsation must be weighed against its possible severe thrombotic and hemorrhagic complications. Here we describe a 72-year old female with interventricular septum rupture complicating the course of acute myocardial infarction, in whom the intra-aortic balloon was used to stabilize the circulation prior to the surgery. Despite antico...
Source: Articles of Archives of Medical Science - TERMEDIA publishing house - December 30, 2009 Category: Journals (General) Source Type: journals

A novel percutaneous mechanical biventricular bridge to recovery in severe cardiac allograft rejectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the case of a 36-year-old man with acute cardiac transplant rejection bridged to recovery using simultaneous Impella 2.5 and TandemHeart percutaneous support devices. The patient underwent orthotopic cardiac transplantation 2 years earlier, and presented to our hospital with allograft failure 7 days after non-compliance with tacrolimus. Because of persistent cardiogenic shock despite intra-aortic balloon and inotropic support, we implanted an Impella 2.5 percutaneous assist device for left ventricular support. Persistent right ventricular dysfunction necessitated insertion of a TandemHeart for right ventricular...
Source: The Journal of Heart and Lung Transplantation - December 25, 2009 Category: Transplant Surgery Authors: Vivek Rajagopal, Gregg Steahr, Charles I. Wilmer, Nirav Y. Raval Tags: Percutaneous Mechanical Support Source Type: journals

Outcomes of elective versus emergent permanent mechanical circulatory support in the elderly: A single-center experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our experience indicates that permanent MCS may be successful in highly selected elderly patients with terminal heart failure, especially when elective implantation is performed before development of inotropic dependency or cardiogenic shock. However, outcomes at 12 months in this selective elderly population remain uniformly poor. (Source: The Journal of Heart and Lung Transplantation)
Source: The Journal of Heart and Lung Transplantation - December 25, 2009 Category: Transplant Surgery Authors: Alexander Stepanenko, Evgenij V. Potapov, Beate Jurmann, Hans B. Lehmkuhl, Michael Dandel, Henryk Siniawski, Thorsten Drews, Ewald Hennig, Friedrich Kaufmann, Michael J. Jurmann, Yuguo Weng, Miralem Pasic, Roland Hetzer, Thomas Krabatsch Tags: Surgical Mechanical Support Source Type: journals

Med Sci Monit 2010; 16(1):CR15-20 "Characteristics and prognosis of coronary revascularization procedure in patients age 80 and older presenting with acute myocardial infarction"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study demonstrates that the angiographic characteristics of patients ≥80 years are significantly different, associated with an initial increased risk of mortality, and that prognosis of MI is excellent once the acute phase has passed. (Source: Medical Science Monitor)
Source: Medical Science Monitor - December 21, 2009 Category: Research Tags: Original article Source Type: journals

Septal Ventricular Tachycardia with Alternating LBBB–RBBB Morphology in Isolated Ventricular NoncompactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a patient with IVNC who presented with cardiogenic shock due to an incessant drug-resistant VT that was cured by radiofrequency ablation. The VT had characteristics of a deep septal focal arrhythmia, which was distinctive by ablation-induced alternation of the rightward and leftward exits, and was difficult to ablate from either side of the ventricular septum. (J Cardiovasc Electrophysiol, Vol. pp. 1-4) (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - December 21, 2009 Category: Cardiology Authors: MARTIN FIALA, JAROSLAV JANU[Scaron]KA, VERONIKA BULKOVÁ, MARTIN PLEVA Source Type: journals

Plasma N-terminal fragment of the prohormone B-type natriuretic peptide concentrations in relation to time to treatment and Thrombolysis in Myocardial Infarction (TIMI) flow: A substudy of the Assessment of the Safety and Efficacy of a New Treatment Strategy with Percutaneous Coronary Intervention (ASSENT IV-PCI) trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Elevated plasma concentrations of Nt-proBNP in the early phase of STEMI determine in-hospital and 90-day outcome after infarction irrespective of time to treatment and pre- or postinterventional TIMI flow. (Source: American Heart Journal)
Source: American Heart Journal - December 19, 2009 Category: Cardiology Authors: Rudolf Jarai, Kurt Huber, Kris Bogaerts, Walter Droogne, Justin Ezekowitz, Christopher B. Granger, Peter R. Sinnaeve, Allan M. Ross, Uwe Zeymer, Paul W. Armstrong, Frans J. Van de Werf, on behalf of the ASSENT IV-PCI investigators Tags: Interventional Cardiology Source Type: journals

Percutaneous coronary intervention or coronary artery bypass surgery for cardiogenic shock and multivessel coronary artery disease?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Limited data from observational studies in patients with CS and multivessel disease suggest that CABG should be considered a complementary reperfusion strategy to PCI and may be preferred, especially when complete revascularization with PCI is not possible. Our data highlight the need for large randomized trials to further evaluate the relative benefit of PCI versus CABG in patients with multivessel coronary disease and CS using contemporary surgical and percutaneous techniques. (Source: American Heart Journal)
Source: American Heart Journal - December 19, 2009 Category: Cardiology Authors: Rajendra H. Mehta, Renato D. Lopes, Andrea Ballotta, Alessandro Frigiola, Michael H. Sketch, Eduardo Bossone, Eric R. Bates Tags: Interventional Cardiology Source Type: journals

Latest Management and Outcomes of Major Pulmonary Embolism in the Cardiovascular Disease Early Transport System:Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Early transport and specific reperfusion therapy for major PE were effectively performed by the Tokyo CCU Network, suggesting the efficacy of a specialty management system for major PE. PMID: 20019409 [PubMed - as supplied by publisher] (Source: Circulation Journal)
Source: Circulation Journal - December 18, 2009 Category: Cardiology Tags: Circ J Source Type: journals

Searching for an ideal hemodynamic marker to predict short term outcome in cardiogenic shockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cardiogenic shock is a lethal condition. Physicians are searching for hemodynamic markers which could help risk stratification of patients in this picture. Torgersen and coworkers present hourly time integral of cardiac power index and cardiac index drops to predict outcomes in the setting of cardiogenic shock. Continuous monitoring of hemodynamic markers may have a role in prediction of outcomes. (Source: Critical Care)
Source: Critical Care - December 10, 2009 Category: Intensive Care Authors: Mehmet Birhan YILMAZAlexandre Mebazaa Source Type: journals

Emergency CABG ‘reasonable approach’ in AMIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Emergency coronary artery bypass graft surgery achieves acceptable results in patients with acute myocardial infarction, especially those without cardiogenic shock, a study suggests. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - December 8, 2009 Category: Cardiology Source Type: news

The metamorphosis of myocardial infarction following coronary recanalizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The “metamorphosis” of acute myocardial infarction (AMI) in terms of pathological features and complications in the reperfusion era is herein discussed. Typically, the AMI following coronary artery recanalization is characterized by frequent subendocardial location, since a prompt coronary lumen recanalization is able to prevent the transmural progression of myocardial necrosis from the endocardium towards the epicardium. Transmural AMI may develop when recanalization occurs late (>6 hours) or is not effective (persistent coronary occlusion). Moreover, reperfused AMI frequently appears reddish because of inte...
Source: Cardiovascular Pathology - December 5, 2009 Category: Cardiology Authors: Cristina Basso, Stefania Rizzo, Gaetano Thiene Tags: Symposium Proceedings Source Type: journals

Percutaneous Left Ventricular Support DevicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several new-generation percutaneous support devices are available or are in different stages of development for use in high-risk percutaneous coronary intervention (PCI), cardiogenic shock, and for other indications. Preliminary studies have demonstrated the feasibility and safety of these devices and the beneficial effect on hemodynamic parameters. In this article, the authors discuss (1) the percutaneous circulatory support devices presently available and routinely used in the catheterization laboratory, (2) the technical aspects involved with insertion and removal, and (3) relevant data from randomized trials, meta-anal...
Source: Cardiology Clinics - December 4, 2009 Category: Cardiology Authors: Kunal Sarkar, Annapoorna S. Kini Source Type: journals

Acute myocardial infarction in an 80 year-old woman caused by left main occlusion with concomitant chronic total occlusions of right and left coronary artery: Successful treatment with percutaneous revascularization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of an elderly patient presenting with acute myocardial infarction complicated by cardiogenic shock due to left main occlusion, with concomitant chronic total occlusion of right and left anterior descending coronary arteries. Successful percutaneous intervention as a bridge to coronary artery bypass grafting was performed with stent implantation, which resulted in the relief of obstruction, the restoration of blood flow and the immediate clinical improvement of the patient. The patient left the hospital in good condition after 11 days, although she had refused the proposed coronary artery bypass grafting...
Source: Cardiology Journal - December 3, 2009 Category: Cardiology Authors: Grygier M, Araszkiewicz A, Lesiak M, Grajek S Tags: Cardiol J Source Type: journals

Complete recovery from severe myocardial dysfunction in a patient with anorexia nervosa.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a patient who experienced cardiopulmonary arrest caused by severe hypoglycemia and malnutrition, which was successfully treated with percutaneous cardiopulmonary support (PCPS) and intra-aortic balloon pumping (IABP). A 33-year-old female with anorexia nervosa (AN) was transferred to the emergency center because of a loss of consciousness. On admission, she was extremely emaciated, hypotensive, and hypoglycemic (10mg/dl). A chest X-ray showed butterfly shadow. Echocardiography showed severe hypokinesis of left ventricular wall motion. On the 3rd hospital day, she experienced cardiac arrest. Myocardial...
Source: Journal of Cardiology - December 1, 2009 Category: Cardiology Authors: Ono T, Kasaoka S, Fujita M, Yamashita S, Kumagai K, Kaneda K, Tsuruta R, Maekawa T Tags: J Cardiol Source Type: journals

The Balloon pump-assisted Coronary Intervention Study (BCIS-1): Rationale and designEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several observational studies have suggested that mortality and major complications after high-risk percutaneous coronary intervention (PCI) can be reduced by elective insertion of an intra-aortic balloon pump (IABP). However, to date, this assertion has never been tested in a randomized trial, and as such, international guidelines do not provide formal recommendations for IABP use in this setting.The BCIS-1 is a randomized trial that addresses the hypothesis that elective IABP insertion before high-risk PCI will reduce major adverse cardiac and cerebrovascular events (MACCEs) at hospital discharge or 28 days after index P...
Source: American Heart Journal - December 1, 2009 Category: Cardiology Authors: Divaka Perera, Rodney Stables, Jean Booth, Martyn Thomas, Simon Redwood, on behalf of the BCIS-1 Investigators Tags: Trial Design Source Type: journals

A Case Report of Central Extracorporeal Membrane Oxygenation after Implantation of a Left Ventricular Assist System: Femoral Vein and Left Atrium Cannulation for ECMO.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: LVAS combined with RVAS-ECMO in right and left atrial cannulation is a useful option for patients with severe pulmonary damage. PMID: 20081753 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - December 1, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Yoda M, Hata M, Sezai A, Minami K Tags: Ann Thorac Cardiovasc Surg Source Type: journals

The importance of cardiac MRI as a diagnostic tool in viral myocarditis-induced cardiomyopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Myocarditis is an acute or chronic inflammatory disease of the myocardium which can be viral, postinfectious immune or primarily organ-specific autoimmune. Clinical manifestations of acute and chronic myocarditis are extremely varied, ranging from mild to severe. Affected patients may recover or develop (dilated) cardiomyopathy (DCM) with life-threatening symptoms including heart failure, conduction disturbances, arrhythmias, cardiogenic shock or sudden cardiac death.The diagnosis of myocarditis is a challenging process and not only because of a diverse presentation; other problems are limited sensitivity of endomyocar...
Source: Netherlands Heart Journal - December 1, 2009 Category: Cardiology Authors: Olimulder MA, van Es J, Galjee MA Tags: Neth Heart J Source Type: journals

Choice of Reperfusion Strategy at Hospitals With Primary Percutaneous Coronary Intervention. A National Registry of Myocardial Infarction Analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions-Use of primary PCI, although increasing over recent years, is not universal at PCI-capable hospitals, and optimization of its use at such hospitals represents a potential opportunity to improve outcomes in patients with ST-segment elevation myocardial infarction. PMID: 19948977 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - November 30, 2009 Category: Cardiology Authors: Fazel R, Krumholz HM, Bates ER, French WJ, Frederick PD, Nallamothu BK, Tags: Circulation Source Type: journals

Acute Treatment of ST-Segment-Elevation Myocardial Infarction: Is There a Role for the Cardiac Surgeon?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Emergency coronary artery bypass grafting in patients with acute myocardial infarction can be performed with acceptable results, especially in those without cardiogenic shock. Therefore, operative revascularization should not be considered only as a rescue therapy. PMID: 19932235 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 28, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hagl C, Khaladj N, Peterss S, Martens A, Kutschka I, Goerler H, Shrestha M, Haverich A Tags: Ann Thorac Surg Source Type: journals

TandemHeart as a Rescue Therapy for Patients With Critical Aortic Valve Stenosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Prompt placement of the TandemHeart in these critically ill patients yields the shortest "emergency department door to left ventricular unloading time," improves end-organ function, and allows AVR to be performed electively. PMID: 19932242 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 28, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gregoric ID, Loyalka P, Radovancevic R, Jovic Z, Frazier OH, Kar B Tags: Ann Thorac Surg Source Type: journals

Early and intermediate results of rescue extracorporeal membrane oxygenation in adult cardiogenic shock.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Extracorporeal membrane oxygenation is an acceptable technique for the treatment of postoperative cardiogenic shock in adults, although early intervention and reduced complications could improve results. However, the use of ECMO has little influence on QOL. PMID: 19932257 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 28, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Wang J, Han J, Jia Y, Zeng W, Shi J, Hou X, Meng X Tags: Ann Thorac Surg Source Type: journals

Emergency coronary artery bypass surgery after failed percutaneous coronary intervention.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Emergency coronary artery bypass grafting among patients with PCI complications and those patients not related to PCI is associated with high mortality and morbidity. Although, the percentage of mortality and morbidity was more among PCI patients the difference between both groups was not significant. Surgical backup and collaboration between cardiologist and surgeons is needed to reduce delay in management and patients transfer to obtain the best surgical outcome. PMID: 19935612 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - November 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Darwazah AK, Islim I, Hanbali B, Shama RA, Aloul J Tags: J Cardiovasc Surg (Torino) Source Type: journals

Coronary Stenting with the Sirolimus-Eluting Stent in Clinical Practice: Final Results from the Prospective Multicenter German Cypher Stent RegistryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These results demonstrate that SES use in clinical practice is safe and effective. The main predictors of clinical events during follow-up are clinical parameters whereas as predictors of TVR mainly are angiographic parameters. (J Interven Cardiol 2009;**:1[ndash]8) (Source: Journal of Interventional Cardiology)
Source: Journal of Interventional Cardiology - November 26, 2009 Category: Cardiology Authors: RALF ZAHN, CHRISTIAN W. HAMM, STEFFEN SCHNEIDER, GERT RICHARDT, MALTE KELM, BENNY LEVENSON, TASSILO BONZEL, ULRICH TEBBE, GEORG SABIN, CHRISTOPH A. NIENABER Source Type: journals

Clinical, historical and diagnostic findings associated with right ventricular dysfunction in patients with central and non-massive pulmonary embolismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  Right ventricular dysfunction during acute pulmonary embolism (PE) predisposes to hemodynamic instability and cardiogenic shock. Aim of this case–control study was to determine the clinical, historical and diagnostic findings associated with right ventricular dysfunction in patients with acute PE involving the main or segmental pulmonary arteries (central PE) and without hemodynamic instability on admission to the Emergency Department (ED) (non-massive PE). From January 1, 2002 to December 31, 2005, 211 patients with central PE were admitted to the Department of Emergency Medicine of the “Antoni...
Source: Internal and Emergency Medicine - November 25, 2009 Category: Emergency Medicine Tags: Internal and Emergency Medicine Source Type: journals

TandemHeart as a Rescue Therapy for Patients With Critical Aortic Valve Stenosis [ORIGINAL ARTICLES: ADULT CARDIAC]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Prompt placement of the TandemHeart in these critically ill patients yields the shortest "emergency department door to left ventricular unloading time," improves end-organ function, and allows AVR to be performed electively. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 23, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gregoric, I. D., Loyalka, P., Radovancevic, R., Jovic, Z., Frazier, O.H., Kar, B. Tags: Mechanical Circulatory Assistance ORIGINAL ARTICLES: ADULT CARDIAC Source Type: journals

Early and Intermediate Results of Rescue Extracorporeal Membrane Oxygenation in Adult Cardiogenic Shock [ORIGINAL ARTICLES: ADULT CARDIAC]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Extracorporeal membrane oxygenation is an acceptable technique for the treatment of postoperative cardiogenic shock in adults, although early intervention and reduced complications could improve results. However, the use of ECMO has little influence on QOL. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 23, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Wang, J., Han, J., Jia, Y., Zeng, W., Shi, J., Hou, X., Meng, X. Tags: Extracorporeal circulation ORIGINAL ARTICLES: ADULT CARDIAC Source Type: journals

Acute Treatment of ST-Segment-Elevation Myocardial Infarction: Is There a Role for the Cardiac Surgeon? [ORIGINAL ARTICLES: ADULT CARDIAC]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Emergency coronary artery bypass grafting in patients with acute myocardial infarction can be performed with acceptable results, especially in those without cardiogenic shock. Therefore, operative revascularization should not be considered only as a rescue therapy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 23, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hagl, C., Khaladj, N., Peterss, S., Martens, A., Kutschka, I., Goerler, H., Shrestha, M., Haverich, A. Tags: Coronary disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: journals

Cardiogenic shock: A serious heart attack complicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cardiogenic shock — Comprehensive overview covers symptoms and treatment of this dangerous heart attack complication. Sponsored by:Chemotherapy.com - http://www.chemotherapy.com (Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - November 18, 2009 Category: Consumer Health News Source Type: news

Prognostic Factors for Pulmonary Embolism: The PREP Study, A Prospective Multicenter Cohort Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: BNP and echocardiography may be useful determinants of the short-term outcome for patients with PE, together with clinical findings. PE patients can be stratified according to the initial risk of adverse outcome, using a simple score based on clinical, echocardiographic and biochemical variables. PMID: 19910608 [PubMed - as supplied by publisher] (Source: American Journal of Respiratory and Critical Care Medicine)
Source: American Journal of Respiratory and Critical Care Medicine - November 12, 2009 Category: Respiratory Medicine Authors: Sanchez O, Trinquart L, Caille V, Couturaud F, Pacouret G, Meneveau N, Verschuren F, Roy PM, Parent F, Righini M, Perrier A, Lorut C, Tardy B, Benoit MO, Chatellier G, Meyer G Tags: Am J Respir Crit Care Med Source Type: journals

Emergent coronary artery bypass grafting for cardiogenic shock caused by very late drug-eluting stent thrombosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of cardiogenic shock caused by a very late drug-eluting stent (DES) thrombosis. The patient underwent emergent coronary artery bypass grafting (CABG) and was discharged home 15 days after the operation. The incidence of stent restenosis had been reduced by the use of DES, but the Achilles’ heel of DES is represented by a higher rate of stent thrombosis. In our case, the DES thrombosis occurred 5 years after its implantation, underlining the importance of prolonged dual antiplatelet therapy. Even though rare, this complication may be life-threatening. We believe that CABG provides better event-free ...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Emergency Ultrasound Diagnosis of Cardiogenic Shock Due to Acute Mitral RegurgitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 5, 2009 Category: Emergency Medicine Authors: Michael B. Stone Source Type: journals

Emergency Ultrasound Diagnosis of Cardiogenic Shock Due to Acute Mitral Regurgitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891675 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Stone MB Tags: Acad Emerg Med Source Type: journals

Simultaneous occlusion of 2 coronary arteries—a rare cause of cardiogenic shockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 51-year-old man, heavy smoker, who presented with 3-hour history of severe chest pain and signs of cardiogenic shock. A 12-lead electrocardiogram showed third-degree atrioventricular block with junctional rhythm of 35 beats per minute and ST elevations in leads II, III, aVF, and V1 through V6. Temporary endocavital pacing was immediately introduced and initiated. In coronary angiography, simultaneous occlusions of left anterior descending and right coronary arteries were found. Primary angioplasty of both culprit vessels was successfully performed. Intra-aortic balloon pumping was inserted. After inte...
Source: The American Journal of Emergency Medicine - November 1, 2009 Category: Emergency Medicine Authors: Aleksander Araszkiewicz, Anna Olasinska-Wisniewska, Wlodzimierz Skorupski, Maciej Lesiak, Tatiana Mularek-Kubzdela, Stefan Grajek Tags: Case Reports Source Type: journals

Severe cardiomyopathy following treatment with the tumour necrosis factor-{alpha} inhibitor adalimumab for Crohn's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adalimumab belongs to the group of tumour necrosis factor- inhibitors and has been approved for the treatment Crohn's Disease since 2007. Herein we report a severe adverse reaction to adalimumab in a 25-year-old female patient. One week after the initial-dose of adalimumab (160 mg), which was initiated due to an acute exacerbation of Crohn's disease, the patient developed a fulminant cardiomyopathy. In severe cardiogenic shock, the patient required an extracorporeal membrane-oxygenation system for 8 days until cardiac recovery. (Source: European Journal of Heart Failure)
Source: European Journal of Heart Failure - October 29, 2009 Category: Cardiology Authors: Emmert, M. Y., Salzberg, S. P., Emmert, L. S., Behjati, S., Plass, A., Felix, C., Falk, V., Gruenenfelder, J. Tags: CASE REPORT Source Type: journals

A three-group model to predict mortality in emergent coronary artery bypass graft surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Patients with an acute myocardial infarction and emergency aortocoronary CABG have an elevated operative risk. Logistic EuroSCORE overestimates the mortality rate. Three different risk groups can be defined, in which creatine kinase-MB/h-ratio and ST-segment elevation can more accurately predict operative risk. PMID: 19853087 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Danner BC, Didilis VN, Stojanovic T, Popov A, Grossmann M, Seipelt R, Schöndube FA Tags: Ann Thorac Surg Source Type: journals