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Rouillard Andrew D AD Department of Biomedical Engineering, University of Virginia, Charlottesville, VA 22908, - - 2014
Following myocardial infarction, damaged muscle is gradually replaced by collagenous scar tissue. The structural and mechanical properties of the scar are critical determinants of heart function, as well as the risk of serious post-infarction complications such as infarct rupture, infarct expansion, and progression to dilated heart failure. A number of ...
Cleland John G F JG National Heart & Lung Institute, NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield Hospitals NHS Trust, Imperial College, London, UK. Electronic address: - - 2014
There is no robust evidence that any treatment can modify the natural history of patients with heart failure and preserved left ventricular ejection fraction (HFpEF), although most agree that diuretics can control congestion and improve symptoms. HFpEF is often complicated by systemic and pulmonary hypertension, atrial fibrillation, obesity, chronic lung ...
Shah Palak P Inova Translational Medicine Institute, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA. Electronic address: - - 2014
Cardiogenic shock is the most common cause of in-hospital mortality for patients who have suffered a myocardial infarction. Mortality exceeds 50% and management is focused on a rapid diagnosis of cardiogenic shock, restoration of coronary blood flow through early revascularization, complication management, and maintenance of end-organ homeostasis. Besides revascularization, inotropes ...
Lian Xuegan X Department of Neurology, Third Affiliated Hospital, Soochow University, Changzhou 213003, - - 2014
We aimed to investigate the complications and predictors associated with persistent hemodynamic depression (PHD) after carotid artery stenting (CAS). A total of 204 patients undergoing CAS in two centers between January 2011 and November 2013 were enrolled for study into two cohorts: PHD (systolic blood pressure <90mm Hg and heart ...
Inoue Takahiro T Department of Cardiac Surgery, The Jikei University, 3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan, - - 2014
Postoperative left ventricular pseudoaneurysm is a rare, but potentially lethal, complication because of the high risk of rupture and high mortality of repair. We report a 64-year-old man with Marfan syndrome who underwent the reimplantation valve-sparing aortic root replacement complicated by a postoperative left ventricular pseudoaneurysm that required urgent repair. ...
Fuernau Georg G Department of Internal Medicine/Cardiology, University of Leipzig-Heart Center, Leipzig, - - 2014
This study investigates the role of osteoprotegerin (OPG) and growth-differentiation factor 15 (GDF-15) as predictors of outcome in cardiogenic shock (CS) complicating acute myocardial infarction. The novel biomarkers OPG and GDF-15 have shown prognostic impact in various cardiovascular diseases including myocardial infarction. In acute myocardial infarction complicated by CS, the ...
Simsek Z Z Department of Cardiology, Ataturk University Faculty of Medicine, Erzurum, Turkey. - - 2014
Bare metal stents (BMS) are commonly used in the treatment of coronary artery disease. Very late stent thrombosis (VLST) is a quite rare clinical entity. However, it is a serious complication that often results myocardial infarction or death. Since the stent endothelialization is considered to be completed within 4 weeks ...
Chiang Francisco F Department of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill; Chapel Hill, NC, USA - - - 2014
This study explored the neurologic vascular complications of varicella zoster virus (VZV). We describe four patients presenting at our institution with neurologic involvement by VZV. MR and MRA studies of the intracranial arterial circulation in the head were read by board-certified radiologists using standard clinical procedures. On MRI, three patients ...
Wang Fang-Fang FF Department of Cardiology, Peking University Third Hospital; Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptide, Ministry of Health; Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Beijing 100191, - - 2014
To evaluate the prognostic value of the coronary artery calcium (CAC) score in patients with stable angina pectoris (SAP) who underwent percutaneous coronary intervention (PCI). A total of 334 consecutive patients with SAP who underwent first PCI following multi-slice computer tomography (MSCT) were enrolled from our institution between January 2007 ...
Singh Devender D Department of Cardiothoracic Surgery, Kovai Medical Centre and Hospital, Coimbatore, Tamilnadu, - - 2014
The entrapment, fracture and dislodgement of diagnostic or therapeutic devices within the coronary circulation during a procedure are a rare complication occurring in 0.2-0.8% of cases. Despite technological improvements, this complication is still occurring because coronary angioplasty is often undertaken for complex anatomical situations. The complication of device fracture during ...
Ruan Zhong-Bao ZB Department of Cardiology, Taizhou People's Hospital, Taizhou, P.R. - - 2014
The risk factors associated with death in complicated Stanford B acute aortic dissection (AAD) after thoracic endovascular aortic repair (TEVAR) are poorly understood. The aim of this study was to evaluate the early and late events and mortality of complicated Stanford B AAD associated with TEVAR. Sixty-two patients with complicated ...
Lipinski Michael J MJ MedStar Cardiovascular Research Network, MedStar Heart Institute, MedStar Washington Hospital Center, 110 Irving St., NW, Suite 4B-1, Washington, DC, 20010, - - 2014
Percutaneous coronary intervention (PCI) has rapidly evolved over the past 30 years as technology has sought to improve clinical outcomes by addressing pathophysiologic complications arising from the intervention. Stents were designed to resolve the drawbacks of balloon angioplasty by providing radial support to prevent vessel recoil, by sealing coronary dissections, and ...
Hoffman Irwin I Christus St. Vincent Hospital, Santa Fe, NM; Department of Medicine University of New Mexico Albuquerque, NM. Electronic address: - - 2014
Accelerated idioventricular rhythm (AIVR) commonly follows coronary reperfusion and has been called a "reperfusion arrhythmia". Transient left bundle branch block (LBBB) is only rarely seen after interventional reperfusion and is usually considered a procedural complication. We report herein electrocardiograms (ECGs) in a case of acute lateral myocardial infarction which demonstrate ...
Vora Amit N AN Duke Clinical Research Institute, 2400 Pratt Street, Durham, NC, 27705, USA, - - 2014
Bleeding events are the most common complications following percutaneous coronary intervention (PCI) and are associated with increases in short- and long-term mortality, nonfatal myocardial infarction, stroke, hospital length of stay, and hospital cost. Over time, there has been a decrease in periprocedural bleeding, primarily due to improvements in antithrombotic therapy; ...
Iga Atsushi A Division of Cardiovascular Medicine, Department of Internal Medicine, the Faculty of Medicine, Toho University, 6-11-1 Ohmorinishi Ota-ku, Tokyo 143-8541, Japan. - - 2014
BACKGROUND Data are limited regarding the clinical results of transradial coronary intervention (TRI) in acute myocardial infarction (AMI) complicated by cardiogenic shock. The aim of this study was to compare the clinical results of TRI and transfemoral coronary intervention (TFI) in AMI patients who had cardiogenic shock and underwent emergency ...
Kelleher Eoin M EM 1 Department of Paediatric Cardiology, Our Lady's Children's Hospital, Crumlin, Dublin 12, - - 2014
A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated severe long segment tracheal stenosis. He was placed on extracorporeal membrane oxygenation ...
Neragi-Miandoab S S Department of Cardiovascular and Thoracic Surgery, Montefiore Medical Center Albert Einstein College of Medicine New York, NY, USA - - - 2014
Transcatheter aortic valve implantation (TAVI) has been shown to be a viable alternative for high-risk patients who may not tolerate a surgical aortic valve replacement. The Edwards Sapien valve and the CoreValve are the most widely implanted valves worldwide. The indication may be expanded to intermediate and eventually low-risk patients ...
Vinod Kolar Vishwanath KV Department of General Medicine, JIPMER, Dhanvantrinagar, Pondicherry, - - 2014
Intravenous immunoglobulin [IVIg] is useful for treating several clinical conditions and is largely considered safe, without major adverse events. Here we report a case of acute ST elevation myocardial infarction associated with high dose IVIg administration in a previously healthy 69-year-old male patient of Guillain Barre syndrome. The case is ...
de Waha Suzanne S Department of Internal Medicine/Cardiology, University of Leipzig - Heart Center, Leipzig, Germany. Electronic address: - - 2014
Intra-aortic balloon pump (IABP) counterpulsation has been the most widely used left ventricular assist device for nearly five decades. Due to diastolic inflation and systolic deflation, coronary blood flow is increased and afterload decreased translating into augmentation of oxygen supply and lowering of oxygen demand. However, IABP may be associated ...
Badiye Amit A * Division of Cardiology, Department of Medicine University of Miami - Jackson Memorial Hospital †Department of Medicine University of Miami - Jackson Memorial - - 2014
The growing use of left ventricular assisted devices as bridge to transplant and their increased duration as destination therapy in patients successfully treated for advance heart failure unwrap a new spectrum of complications seen in long-term use of the devices. Device thrombosis remains a therapeutic dilemma and limited data is ...
Kronzon Itzhak I Non Invasive Cardiology, Lenox Hill Hospital, 100 E 77th St. 2E, New York, NY, 10075, - - 2014
Left ventricular pseudoaneurysm and ventricular septal defect are rare but devastating complications of myocardial infarction. With medical treatment alone, the majority of patients will die from these complications. Until recently, the recommended treatment was surgical closure. These surgeries carried extreme risk due to abnormal hemodynamics, necrotic substrates and the comorbidities ...
Rahman Afzalur A Department of Cardiology, National Institute of Cardiovascular Diseases, Dhaka, - - 2014
With the increase in life expectancy, the proportion of very elderly people is increasing. Coronary artery disease (CAD) is an important cause of mortality and morbidity in this age group, for which myocardial revascularization is often indicated. Percutaneous coronary intervention (PCI) in the very elderly bears the inherent risks of ...
Radosavljević-Radovanović Mina - - 2014
Ventricular septal rupture (VSR) in the acute myocardial infarction (AMI) is a rare but very serious complication, still associated with high mortality, despite significant improvements in pharmacological and surgical treatment. Therefore, hybrid approaches are introduced as new therapeutical options. We present an urgent hybrid approach, consisting of the initial percutaneous ...
Mehrzad Raman R Department of Medicine, Steward Carney Hospital, Boston, MA, - - 2014
Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow-up. The ...
Sila Cathy C Department of Neurology, Case Western Reserve University School of Medicine and Stroke and Cerebrovascular Center, University Hospitals-Case Medical Center, Cleveland, OH, USA. Electronic address: - - 2014
Arterial or central venous vascular access is the cornerstone of invasive cardiac diagnosis, monitoring, and therapeutics. Although procedural safety has significantly improved with protocols perfected over decades of use, their prevalence renders even the uncommon neurologic complication clinically relevant. Serious peripheral nerve complications result from direct or indirect nerve injuries ...
Kanakadandi Uday U Department of Cardiology, University of Arizona College of Medicine, Tucson, Arizona, - - 2014
Early vein graft failure is a well-described early complication of coronary artery bypass grafting. Revascularisation with emergency percutaneous coronary intervention (PCI) may limit the extent of myocardial damage and is associated with lower procedural complications compared than with emergency redo bypass surgery. We describe a case of an early saphenous ...
Park Taek Kyu TK Department of Medicine, Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of - - 2014
There is no available data on clinical outcome in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock who are supported by an intra-aortic balloon pump (IABP) in combination with extracorporeal life support (ECLS). We analysed 96 consecutive patients with AMI and complicating cardiogenic shock who were assisted by ...
Kaya Cengiz - - 2014
Idiopathic dilated cardiomyopathy is a primary myocardial disease with unknown aetiology. This disease follows a prospective course that is characterized by ventricular dilation and impaired myocardial dilation. Congestive heart failure and malignant arrhythmias are the most widespread complications. The incidence of idiopathic dilated cardiomyopathy in the general population is 5-8/100.000. ...
Dobashi Shintaro S Department of Cardiovascular Medicine, Toho University Faculty of Medicine, Tokyo, - - 2014
An 86-year-old man had long-standing persistent atrial fibrillation, but had not received any anticoagulants. Transthoracic echocardiography revealed a large thrombus formation in the left atrium. We hesitated to use the conventional anticoagulant, warfarin, because he was very old and had dementia. We decided to resolve the thrombus at our outpatient ...
Vergara Pasquale P Arrhythmia Unit and Electrophysiology Laboratories, Department of Cardiology and Cardiothoracic Surgery, Ospedale S. Raffaele via Olgettina 60, Milano - - 2014
Atrial fibrillation (AF) is associated with increases in the risk of mortality, congestive heart failure, and stroke. Medical treatment is aimed at preventing thrombo-embolic complications and reducing symptoms and consequences related to the arrhythmia. In the first section of this review, we discuss the principles of mainstream oral anticoagulant therapy ...
Parekh Pritesh P Department of Cardiology, Care Hospital, Surat, Gujarat, - - 2014
Very late stent thrombosis is a rare complication of percutaneous coronary intervention in the era of dual antiplatelet therapy. The risk factors for stent thrombosis are drug default, age, diabetes, renal dysfunction, left ventricular dysfunction, smoking or procedure-related factors and complications. We are describing the case of a 55-year-old non-smoker ...
de Waha Suzanne S Department of Internal Medicine, Cardiology, University of Leipzig - Heart Center Leipzig, Germany. Electronic address: - - 2013
Intra-aortic balloon-pump (IABP) counterpulsation has been the most widely used left ventricular assist device for nearly five decades. Due to diastolic inflation and systolic deflation, coronary blood flow is increased and afterload decreased translating into augmentation of oxygen supply and lowering of oxygen demand. However, IABP may be associated with ...
O'Neill William W WW Henry Ford Hospital, Detroit, - - 2013
To evaluate the periprocedural characteristics and outcomes of patients supported with Impella 2.5 prior to percutaneous coronary intervention (pre-PCI) versus those who received it after PCI (post-PCI) in the setting of cardiogenic shock (CS) complicating an acute myocardial infarction (AMI). Early mechanical circulatory support may improve outcome in the setting ...
Alomar Mohammed E - - 2013
We present a systematic review and meta-analysis of the frequency, consequences, and treatment of stent loss during percutaneous coronary intervention (PCI). Stent loss during PCI has received limited study. We conducted a meta-analysis of 18 case series and 45 case reports published between 1991 and 2012 on stent loss during ...
Toeg Hadi Daood HD Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, - - 2013
Although serious complications are becoming more rare with continuous-flow left ventricular assist devices such as the Heartmate II (Thoratec Corp, Pleasanton, CA), this case series discusses 2 patients with symptoms of bleeding and syncopal ventricular tachycardia associated with an outflow graft bend relief disconnection, which can be diagnosed by simple ...
Ghadri Jelena R - - 2013
Prinzmetal angina is a crucial differential diagnosis of acute coronary syndromes. The clinical picture is similar but different due to transient ECG changes and occurrence of angina symptoms without physical activity. The mechanism is still unknown, however endothelial dysfunction may play a role. Here we present a case of Prinzmetal ...
Kawashiri Masa-Aki - - 2013
Whether the lesion morphology and associated interventional procedures for the left main coronary artery disease (LMCA) could affect clinical outcome is still controversial. Therefore, we examined the impact of lesion morphology and associated procedures on clinical and angiographic outcomes of stenting for the LMCA. Among 7,660 patients with coronary intervention ...
Wang Dong-Wen DW Department of Cardiovascular Surgery, Beijing Military Region General Hospital, Beijing 100700, P.R. - - 2014
Essential thrombocythemia (ET) is a chronic clonal myeloproliferative disorder, which is often complicated by arterial or venous thrombosis and idiopathic bleeding diathesis. The present study reports a female patient with ET complicated by acute myocardial infarction, leading to ventricular aneurysm following interventional therapy for 3 years and a subsequent in-stent ...
Lee Michael S - - 2013
Recent literature has argued the superiority of radial access compared with femoral access for percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS). Three particular trials-RIVAL (Radial Versus Femoral Access for Coronary Intervention), RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome), and STEMI-RADIAL (ST Elevation Myocardial Infarction Treated ...
Cade W Todd WT Program in Physical Therapy, Washington University School of Medicine, St. Louis, - - 2013
Individuals with HIV infection and peripheral metabolic complications have impaired basal myocardial insulin sensitivity that is related to left ventricular (LV) diastolic dysfunction. It is unknown whether interventions shown to be effective in improving peripheral insulin sensitivity can improve basal myocardial insulin sensitivity and diastolic function in people with HIV ...
Aoyama Naoyoshi - - 2013
The appropriate indication for, management of and limitations to extracorporeal life support (ECLS) and the timing of a switch to a ventricular assist device (VAD) remain controversial issues in patients with acute myocardial infarction (AMI) complicated with cardiogenic shock or cardiopulmonary arrest. To evaluate and discuss these issues, we studied ...
Koltowski Lukasz - - 2013
Chronic renal disease is a well-known risk factor for bleeding complications in acute coronary syndrome patients. The aim of this study was to determine the impact of chronic renal disease (CRF) with STEMI treated with primary PCI on periprocedural complications. 103 patients with ST segment elevation myocardial infarction treated with ...
Alomari Ihab - - 2013
In contemporary practice, entrapped devices are rarely encountered during percutaneous coronary intervention (PCI) but can be associated with serious morbidity and mortality. We present a case of a 62 y/o male who presented with an acute coronary syndrome. Revascularization was performed and complicated by guide wire entrapment and fracture. Cardiologists ...
Asrar Ul Haq Muhammad - - 2013
The transradial approach for coronary angiography was first described in 1989. With the advent of modern equipment and improved technology it has recently gained significant interest amongst interventional cardiologists. As compared to femoral access, the radial approach has the major advantages of lower access site complication rates, cost-effectiveness, and shorter ...
Stolker Joshua M - - 2013
Despite increasing complexity of contemporary procedures at tertiary care hospitals, the relationship between interventional cardiology fellows-in-training (ICFITs) and complications of percutaneous coronary intervention (PCI) has not been reported. We compiled logbooks of 6 ICFITs at an academic hospital and evaluated patient and procedural characteristics of PCIs performed with and without ...
Lim Roxanne G - - 2013
Upper gastrointestinal bleeding in the setting of acute myocardial infarction (MI) has substantial morbidity and mortality. Several studies have been performed on the safety of esophagogastroduodenoscopy (EGD) after MI; however, these studies vary in definitions and results. We evaluated the safety and effect of EGD in patients with acute MI ...
Doktorova Magdalena - - 2013
This article focuses on the incidence, predictors, classification, impact on prognosis, and management of bleeding associated with the treatment of acute coronary syndrome. The issue of bleeding complications is related to the continual improvement of ischemic heart disease treatment, which involves mainly (a) the widespread use of coronary angiography, (b) ...
Tomassini Francesco - - 2013
To assess the impact on in-hospital and long-term survival of thrombus aspiration (TA) during primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). From September 2001 to May 2010 we collected data from 155 patients affected with STEMI complicated by CS undergoing PPCI ...
Chimenti Cristina - - 2013
Use of left ventricular (LV) endomyocardial biopsy (EMB) for investigation of cardiomyopathies is currently discouraged as considered more risky and equally contributive than right ventricular (RV) biopsy. Aim of our study is to report our experience on advantages and disadvantages of this option. In our center from 1983 to 2010, ...
Williams Paul D - - 2013
Transradial access for coronary intervention significantly reduces vascular complications and may be associated with a reduced risk of major adverse cardiovascular events. However, the small caliber of the radial artery has been considered a limitation to performing complex coronary intervention. Fifty-three patients with true bifurcation disease, in whom a two-stent ...
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