• We evaluated whether left ventricular contractile reserve (CR), measured with strain imaging on dobutamine echocardiography (DSE), is a reliable non-invasive measure of coronary microvascular function. (nih.gov)
  • Many patients undergoing pharmacological stress echocardiography for assessing symptoms suggestive of coronary artery disease are found to have a normal test. (ersjournals.com)
  • A total 41 consecutive patients who had a negative pharmacological stress echocardiography and had been evaluated for angina pectoris were studied. (ersjournals.com)
  • Patients with an inconclusive test result and patients who are incapable of performing a satisfactory treadmill exercise test have to be further assessed by specific noninvasive diagnostic tests, such as Thallium-201 perfusion scintigraphy, pharmacological stress echocardiography or single photon emission computed tomography to select those patients with a high probability of disease, where coronary angiography is reasonable and cost-effective 5 . (ersjournals.com)
  • A total 41 consecutive patients (seven male, 34 female), aged 30-81 yrs, who had undergone pharmacological stress echocardiography for evaluation of symptoms suggestive of angina pectoris and had a normal test were examined. (ersjournals.com)
  • Until recently, conventional transesophageal echocardiography and transthoracic echocardiography were the tools available for hemodynamic assessment of patients on this form of mechanical circulatory support. (hindawi.com)
  • Although no current guidelines are available for an optimal monitoring device for patients under extracorporeal membrane oxygenation (ECMO) support, conventional transesophageal echocardiography (TEE) or transthoracic echocardiography (TTE) is commonly used for this purpose [ 3 ]. (hindawi.com)
  • the remainder underwent dobutamine-stress echocardiography. (medscape.com)
  • OBJECTIVE -This study sought to determine whether stress echocardiography using exercise (when feasible) or dobutamine echo could be used to predict mortality in patients with diabetes. (diabetesjournals.org)
  • Stress echocardiography using exercise was performed in 333 patients able to exercise maximally, and dobutamine echo using a standard dobutamine stress was used in 604 patients. (diabetesjournals.org)
  • Background: Stress echocardiography is an established technique for diagnosis, risk stratification, and prognosis in patients with selleck chemicals llc known or suspected coronary artery disease. (smadpathway.com)
  • The purpose of this study was to evaluate the clinical outcomes of coronary angiography, revascularization, and cardiac events in patients undergoing stress echocardiography. (smadpathway.com)
  • Dobutamine stress echocardiography is feasible in anesthetized patients with severe coronary artery disease. (silverchair.com)
  • The lack of serious complications and the high sensitivity to detect inducible ischemia in this patient population provide the basis for further evaluation of the safety and diagnostic value of dobutamine stress echocardiography during general anesthesia in larger studies of patients at risk for coronary artery disease undergoing noncardiac surgery. (silverchair.com)
  • There is increased interest in the role of dobutamine stress echocardiography (DSE) and adenosine magnetic resonance imaging (AMRI) performed in the chest pain unit as a diagnostic method to rule out Coronary Artery Disease (CAD) as the cause of the chest pain in this population. (biomedcentral.com)
  • A low-dose dobutamine stress echocardiography may be used for this purpose in patients with classical LF-LG AS, whereas aortic valve calcium scoring by multi-detector computed tomography is the preferred modality in those with paradoxical LF-LG or NF-LG AS. (omicsdi.org)
  • We assessed the utility of a screening protocol using dobutamine stress echocardiography (DSE) in 119 patients who underwent liver transplantation. (elsevierpure.com)
  • We investigated the role of technetium-99m (99mTc) sestamibi cardiac imaging and dobutamine echocardiography in detecting myocardial viability early after acute myocardial infarction. (cnr.it)
  • Nineteen patients (mean age 52 ± 10 years) underwent coronary angiography, low-dose dobutamine echocardiography and rest 99mTc sestamibi imaging within 10 days of myocardial infarction. (cnr.it)
  • Dobutamine echocardiography predicts functional recovery after myocardial infarction. (cnr.it)
  • methods: In a substudy of patients with coronary artery disease and left ventricular dysfunction who were enrolled in a randomized trial of medical therapy with or without CABG, we used single-photon-emission computed tomography (SPECT), dobutamine echocardiography, or both to assess myocardial viability on the basis of prespecified thresholds. (elsevierpure.com)
  • METHODS AND RESULTS: Eighteen patients with stable chronic coronary artery disease underwent, while off drugs, quantitative 201Tl single-photon emission computed tomography after rest injection (2 to 3 mCi), two-dimensional echocardiography at rest and during dobutamine (5 to 10 micrograms/kg per minute i.v.), and radionuclide angiography. (unisa.it)
  • 05). CONCLUSIONS: Inotropic stimulation using dobutamine echocardiography identifies hypoperfused reversibly dysfunctional myocardium. (unisa.it)
  • Stress echocardiography requirements will be met by directly participating in exercise and dobutamine echocardiography. (fau.edu)
  • In 19 patients who were also examined with dobutamine echocardiography, 13 showed concordance between echocardiography and infusion MPI. (uludag.edu.tr)
  • In nondiabetic patients, a number of factors may be used to stratify the level of risk of coronary disease, including clinical history, resting ventricular function, exercise capacity, the presence and extent of ischemia at single-photon emission-computed tomography (SPECT), or stress echo. (diabetesjournals.org)
  • 112 patients (62 females) aged 37 to 81 years (mean, 57 years) referred for evaluation of chest pain, dyspnoea or inconclusive exercise electrocardiogram, underwent gated single photon emission computed tomography perfusion imaging with technetium 99m sestamibi intravenously following Bruce exercise protocol (102 patients) or dobutamine stressing (10 patients). (hkjr.org)
  • In spite of dopamine (15 µg/kg/min), dobutamine (15µg/kg/min) and adrenalin (1mg/h) infusions, myocardium failed to maintain normotension. (ispub.com)
  • Six hours later we started to reduce the analogous inotropic support (dopamine 10µg/kg/min, dobutamine 10µg/kg/min, adrenalin 0.5mg/h) since the hemodynamic parameters were satisfactory. (ispub.com)
  • The myocardial protective effects of these 2 different cardioplegic temperatures were compared in terms of the postoperative cardiac index and left ventricle stroke work index, dopamine and dobutamine requirements in the intensive care unit, intra aortic balloon pump requirement, intensive care unit stay length and mortality ratios. (tubitak.gov.tr)
  • Once the cardiac rhythm was controlled, he underwent an intra-aortic balloon pump insertion and was transferred to our institution for possible ECMO support. (hindawi.com)
  • Due to the extent of stenoses, the patient had an intra-aortic balloon pump placed to reduce myocardial oxygen demand. (emguidewire.com)
  • Methods and Results We enrolled 24 patients with Marfan syndrome aged 8 to 19 years to participate in a 6-month physical activity intervention, excluding those with ventricular dysfunction or prior history of aortic surgery. (stanford.edu)
  • METHODS: Twenty four patients (25 data sets) undergoing head and neck cancer resection and free flap reconstruction were recruited. (ox.ac.uk)
  • Material and methods: In study I, coagulation factor activities were measured before and after surgery in a cohort of 57 patients undergoing first time elective coronary artery bypass grafting (CABG). (5dok.org)
  • Methods: Between 2000 and 2010, 759 consecutive patients underwent de novo HTx at Columbia University Medical Center and were retrospectively reviewed. (mssm.edu)
  • improvements in cardiac function in patients with persistent left ventricular dysfunction due to healed myocardial infarction with established scar formation. (pharmaceuticalintelligence.com)
  • Background: The assessment of myocardial viability has been used to identify patients with coronary artery disease and left ventricular dysfunction in whom coronary-artery bypass grafting (CABG) will provide a survival benefit. (elsevierpure.com)
  • conclusions: The presence of viable myocardium was associated with a greater likelihood of survival in patients with coronary artery disease and left ventricular dysfunction, but this relationship was not significant after adjustment for other baseline variables. (elsevierpure.com)
  • This study was designed to develop a predictive score for in-hospital mortality for cardiogenic shock patients who received VA-ECMO after isolated CABG. (biomedcentral.com)
  • The REMEMBER score might help clinicians at bedside to predict in-hospital mortality for patients receiving VA-ECMO after isolated CABG for refractory cardiogenic shock. (biomedcentral.com)
  • Efficacy of Milrinone and Dobutamine in Cardiogenic Shock: An Updated Systematic Review and Meta-Analysis. (ottawaheart.ca)
  • Myocardial injury-related cardiogenic shock (MICS) is significantly associated with poor outcomes in patients after cardiac surgery. (biomedcentral.com)
  • Cardiogenic shock was apparent, and dobutamine was administered to increase his blood pressure. (rcpjournals.org)
  • The key to a good outcome in patients with cardiogenic shock is an organized approach, with rapid diagnosis and prompt initiation of pharmacologic therapy to maintain blood pressure and cardiac output and respiratory support, as well as reversal of the underlying cause. (medscape.com)
  • Cardiogenic shock may be prevented with early revascularization in patients with myocardial infarction (MI) and with required intervention in patients with structural heart disease. (medscape.com)
  • [ 12 ] Consider placing an IABP in patients with cardiogenic shock who have acute mitral regurgitation or a ventricular septal defect, as well as select patients with severe cardiogenic shock when other MCS devices are unavailable. (medscape.com)
  • An early revascularization strategy with either PCI or CABG, in collaboration between cardiologists and surgeons, is recommended for appropriate patients with suspected cardiogenic shock related to acute coronary syndrome (eg, those with uncertain neurologic status, those who received previous fibrinolysis), regardless of the time delay from MI onset. (medscape.com)
  • The REVIVED-BCIS2 trial recently made waves when it showed no clinical advantage from adding PCI to OMT in stable patients with severe ischemic left ventricular (LV) dysfunction. (medscape.com)
  • The management of this subset of patients is particularly challenging because the AVA-gradient discrepancy raises uncertainty about the actual stenosis severity and thus about the indication for aortic valve replacement (AVR) if the patient has symptoms and/or left ventricular (LV) systolic dysfunction. (omicsdi.org)
  • The design of the present study required the selection of patients at risk for organ dysfunction. (biomedcentral.com)
  • Preoperative non-invasive testing aims to provide information primarily about coronary artery disease (myocardial ischemia or reduced blood supply to the heart muscle), left ventricular (LV) dysfunction, and heart valve abnormalities in selected patients. (cadth.ca)
  • Tepid Versus Cold Blood Cardioplegia in Patients with Low Preoperative" by RAHMİ ZEYBEK, EGEMEN TÜZÜN et al. (tubitak.gov.tr)
  • Thirty consecutive patients meeting the study inclusion criteria were enrolled at the preoperative anaesthesia clinic. (org.pk)
  • The study population consisted of consecutive surgical patients visiting the preoperative anaesthesia clinic for pre operative anaesthesia assessment except those excluded by the exclusion criteria. (org.pk)
  • A meta-analysis of 15 studies reported that hyperglycemia increased both in-hospital mortality and incidence of heart failure in patients admitted for acute myocardial infarction, independent of a previous diagnosis of DM, demonstrating that the presence of DM is not as important as the control of blood glucose concentrations. (medscape.com)
  • Patients The patients were registered out of each institute registry of the acute coronary syndrome (ACS) which contains a total of 10,622 cases in eight academic hospitals in east Japan. (bvsalud.org)
  • patient sphincter: A secondary, highly cardiac depression progression associated by autonomic hypothalamus of covering Venous to either objective of the free exchange during abdomen or sugar of acute Ingestion. (ajw-service.de)
  • The patient in case 1 was a 50-year-old man who presented to the emergency department of the local hospital with chest pain and syncope for 3 hours due to acute myocardial infarction. (rcpjournals.org)
  • Do not give metformin to someone who is going to undergo procedures with contrast dye, because it can cause acute renal failure. (studypk.com)
  • In cases of severe rhabdomyolysis and hyperkalemia in myopathy patients, it is difficult to achieve satisfactory resuscitation and successful return of spontaneous circulation and additional acute kidney injury (AKI) is considered. (ekja.org)
  • We here report a case of a successful application of a combination of ECMO and in-line hemofiltration for a patient who suffered acute hyperkalemic cardiac arrest after orthopedic surgery. (ekja.org)
  • Exercise stress tests are often not feasible in patients with peripheral arterial disease (PAD) due, in part, to baseline abnormalities on the resting echocardiogram (ECG). (cadth.ca)
  • Consequently, these patients will need to undergo surgical procedures requiring both sedation and general anesthesia. (medscape.com)
  • CONCLUSIONS -The results of stress echo are independent predictors of death in diabetic patients with known or suspected CAD. (diabetesjournals.org)
  • Thirty-seven patients underwent standard MPI and an extra SPECT study in which Tc-99m-sestamibi was given as a prolonged constant infusion. (uludag.edu.tr)
  • The study included 395 individuals with suspected CAD who underwent a 48-hour rest-stress MPI SPECT. (news-medical.net)
  • With the increasing prevalence of diabetic patients undergoing surgery, and the increased risk of complications associated with diabetes mellitus, appropriate perioperative assessment and management are imperative. (medscape.com)
  • Infections account for 66% of postoperative complications and nearly one quarter of perioperative deaths in patients with DM. (medscape.com)
  • Levosimendan (LS), a new inodilator used in the treatment of decompensate heart failure, has been reported to be effective in patients with high perioperative risks, with abnormal left ventricular function, and who face difficulties in weaning off cardiopulmonary bypass. (ispub.com)
  • [1] Various strategies have been developed to assess and decrease cardiac risk in patients scheduled for noncardiac surgery, [2-5] and guidelines for perioperative cardiovascular evaluation have been established. (silverchair.com)
  • This trial protocol will determine whether acupuncture at distal-proximal or regional acupoints can reduce anesthetic dose and postoperative complications in OP-CABG surgery, with the purpose of ensuring patient safety in the perioperative phase. (clinicaltdd.com)
  • This article focuses on the perioperative management of patients with PH who present for noncardiac surgical procedures. (medscape.com)
  • An excellent partnership with the cardiac surgery group enables the fellows to participate in perioperative care of patients undergoing cardiac surgeries. (fau.edu)
  • Duchenne muscular dystrophy (DMD) is the most common childhood muscular dystrophy that anesthesiologists can encounter in the operation room, and patients with DMD are susceptible to complications such as rhabdomyolysis, hyperkalemic cardiac arrest, and hyperthermia during the perioperative period. (ekja.org)
  • Various anesthesia-related perioperative risks such as rhabdomyolysis, hyperkalemic cardiac arrest, and hyperthermia exist in DMD patients. (ekja.org)
  • Unstable chest trauma patients may show signs of severe respiratory distress or profound shock requiring emergent resuscitation. (saem.org)
  • Our case highlights the value of this novel, flexible, and disposable device for hemodynamic monitoring, accurate therapy guidance, and potential VA-ECMO weaning process of patients with this form of severe myocarditis. (hindawi.com)
  • TRI-SCORE and benefit of intervention in patients with severe tricuspid regurgitation. (ottawaheart.ca)
  • In patients with severe impairment of myocardial function, beta-blockers may inhibit the sympathetic stimulation necessary to maintain adequate cardiac function. (theodora.com)
  • Some patients receiving beta-adrenergic receptor blocking agents have been subject to protracted severe hypotension during anesthesia. (theodora.com)
  • A standard dobutamine-atropine stress protocol was performed in 80 patients with severe coronary artery disease during fentanyl-isoflurane anesthesia. (silverchair.com)
  • Predictors of Mortality and Symptomatic Outcome of Patients With Low-Flow Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement. (omicsdi.org)
  • Despite increased long-term mortality, high procedural success and excellent functional improvement support transcatheter aortic valve replacement in patients with LF severe aortic stenosis. (omicsdi.org)
  • One of the most important clinical challenges in these three categories of patients with LG AS (classical LF-LG, paradoxical LF-LG, and NF-LG) is to differentiate a true-severe AS that generally benefits from AVR vs. a pseudo-severe AS that should be managed conservatively. (omicsdi.org)
  • Although patients with LF-LG severe AS have worse outcomes than those with high-gradient AS following AVR, they nonetheless display an important survival benefit with this intervention. (omicsdi.org)
  • Among patients with severe aortic stenosis (AS) and preserved ejection fraction, those with low gradient (LG) and reduced stroke volume may have an adverse prognosis. (omicsdi.org)
  • The patient describes 3 weeks of severe left-sided, exertional chest pain and associated dyspnea. (emguidewire.com)
  • No dose adjustment is required, including in patients with severe renal impairment (creatinine clearance less than 30 mL/minute) (see sections 4.4 and 5.2). (who.int)
  • However, linezolid should be used with special caution in patients with severe renal insufficiency, and only when the anticipated benefit is considered to outweigh the theoretical risk, because the clinical significance of higher exposure (up to 10 fold) to the two primary metabolites of linezolid is unknown. (who.int)
  • Impaired left ventricular (LV) ejection fraction is a common finding in patients with aortic stenosis and serves as a predictor of morbidity and mortality after transcatheter aortic valve replacement. (omicsdi.org)
  • Long-Term Survival, Cardiovascular, and Functional Outcomes after Minimally Invasive Coronary Artery Bypass Grafting in 566 Patients. (ottawaheart.ca)
  • Further functional imaging, in the form of a myocardial perfusion scan or a dobutamine stress echocardiogram were recommended if the test was inconclusive. (bjcardio.co.uk)
  • As they propose into wider dobutamine higher food endocarditis time patients will treat developed to delineate these layers a more functional Insulin. (ajw-service.de)
  • [ 1 , 2 ] Greater knowledge of the pathophysiology of PH and advances in its treatment have led to improvements in both functional status and life expectancy for these patients. (medscape.com)
  • Functional improvement after revascularization was observed in 42 (91%) of 46 segments manifesting an improvement during dobutamine as opposed to 6 (18%) of 33 segments that did not improve during dobutamine. (unisa.it)
  • Functional improvement during dobutamine is highly predictive of improvement after revascularization. (unisa.it)
  • For these reasons, in patients undergoing elective surgery, gradual withdrawal of beta-adrenergic receptor blocking agents may be appropriate. (theodora.com)
  • Application of Cardiovascular Computed Tomography to the Assessment of Patients With Hypertrophic Cardiomyopathy. (ottawaheart.ca)
  • There is no magical amount of viable ventricular myocardium that makes percutaneous coronary intervention (PCI) an effective addition to optimal medical therapy (OMT) in stable patients with coronary disease and poor ventricular function, suggests an analysis from a major trial. (medscape.com)
  • All the patients had shown viable but dysfunctional myocardium that could potentially be revascularized. (medscape.com)
  • Since the well tolerance of the myocardium, we were able to stop the other inotropic drug infusions after 48 hours and the patient was discharged from the hospital 10 days after the surgery. (ispub.com)
  • BACKGROUND: In patients with coronary artery disease, dysfunctional hypoperfused myocardium at rest may represent either necrotic or viable hibernating myocardium. (unisa.it)
  • In patients with coronary artery disease, the distinction between scar and viable myocardium by means of myocardial perfusion imaging (MPI) sometimes can be difficult because of the equivocal meaning of fixed perfusion defects. (uludag.edu.tr)
  • Power spectral analysis of the effects of epinephrine, norepinephrine, dobutamine and dopexamine on microcirculation following free tissue transfer. (ox.ac.uk)
  • Epinephrine, norepinephrine, dopexamine, and dobutamine were infused in a random order at four infusion rates, after surgery, with free flap and control area (deltoid region) laser Doppler skin blood flow monitoring. (ox.ac.uk)
  • Prediction scoring systems for coronary artery bypass grafting (CABG) patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) have not yet been reported. (biomedcentral.com)
  • We developed the pRedicting mortality in patients undergoing veno-arterial Extracorporeal MEMBrane oxygenation after coronary artEry bypass gRafting (REMEMBER) score, which might help the clinicians to select patients that would benefit from VA-ECMO after CABG. (biomedcentral.com)
  • He underwent cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO), and intestinal perforation was detected on day 9. (rcpjournals.org)
  • Extracorporeal membrane oxygenation (ECMO) is a life support therapy for patients with cardiac or pulmonary failure, and its application is continually expanding. (rcpjournals.org)
  • Thus, extracorporeal membrane oxygenation (ECMO) support and hemodialysis support can be helpful for these patients [ 4 ]. (ekja.org)
  • The American Diabetes Association conservatively estimates that 12-25% of hospitalized adult patients have diabetes mellitus (DM). (medscape.com)
  • Previously, in the rapid access chest pain clinic (RACPC), patients referred by the GP with recent-onset chest pain underwent a clinical assessment, after which, an exercise tolerance test (ETT) was the first diagnostic test performed to diagnose myocardial ischaemia, generally during the same visit. (bjcardio.co.uk)
  • Baseline assessment demonstrated that the majority of these patients were sedentary and had abnormal arterial health. (stanford.edu)
  • CASE PRESENTATION: We were involved in the assessment, treatment, and pathological evaluation of two adult ALCAPA patients who were rescued from ventricular fibrillation and then surgically treated to establish a dual coronary artery system. (bvsalud.org)
  • Accurate assessment of patients with chest pain without electrocardiographic changes or elevation of serum cardiac enzymes is challenging. (biomedcentral.com)
  • results: Among the 1212 patients enrolled in the randomized trial, 601 underwent assessment of myocardial viability. (elsevierpure.com)
  • The assessment of myocardial viability did not identify patients with a differential survival benefit from CABG, as compared with medical therapy alone. (elsevierpure.com)
  • As such, patients undergoing major non-cardiac vascular surgery should undergo a complete clinical assessment of comorbidities. (cadth.ca)
  • 4 Because of the high prevalence of symptomatic and asymptomatic coronary artery disease (CAD) in this patient population, the clinical assessment aims to identify patients at increased risk of cardiac complications and apply strategies to reduce this risk. (cadth.ca)
  • Frequency analysis of the Doppler waveform was performed utilizing the time period immediately before the first drug infusion for each patient as baseline. (ox.ac.uk)
  • Patients in AMRI group were more likely to be males, had more risk factors for CAD, and used more Beta blockers or aspirin at baseline compared to patients evaluated by DSE. (biomedcentral.com)
  • In this prospective study of patients with low probability of CAD, AMRI identified more cases of CAD than DSE even after adjusting for baseline characteristics. (biomedcentral.com)
  • There is a rise in blood pressure and haeart rate of 20 to 30% from baseline and dysrythmias occur in approximately 15% of the patients.1,2 Extensive research has been done to study this haemodynamic response and how it is affected by various anaesthetic interventions. (org.pk)
  • This leads to high blood pressure and heart rate due to sympathetic stimulation and catecholamine release.5 Although standard anaesthetic practice is to prescribe premedication to relieve anxiety before surgery, patients may still have different levels of anxiety depending upon their personality types, and hence alteration of baseline haemodynamics immediately before surgery, cannot be ruled out. (org.pk)
  • In some patients, myocardial ischaemia produces a significant transient decrease in the diastolic or systolic function of the ventricle that is responsible for exertional dyspnoea. (ersjournals.com)
  • implantation: failure disorder filed in deleterious fields to pursue patients and in systolic patients to be precursor. (ajw-service.de)
  • Left ventricular ejection fraction, stroke volume, and end-systolic volume were determined for each patient. (hkjr.org)
  • Conversely, systolic function after revascularization did not improve in 31 segments, and in 27 (87%), it had not improved during dobutamine. (unisa.it)
  • Variability exists in the measurement of systolic blood pressure taken at different hospital locations in surgical patients. (org.pk)
  • The risk of death in patients with a normal scan was 4% per year, and this was associated with age and selection for pharmacologic stress testing. (diabetesjournals.org)
  • This study was designed to evaluate the feasibility and safety of a dobutamine-atropine stress protocol to detect inducible demand ischemia in anesthetized patients. (silverchair.com)
  • 6 This could be explained by a selection bias towards low-risk patients or because of changes in shear stress with stiffening of the aorta in older people. (icrjournal.com)
  • Our clinical experiences with LS has shown that it reduces conventional inotropic agents dosages and could be a satisfactory agent in myocardial depression therapy which occurred in CPB surgery intraoperatively also in pediatric patients. (ispub.com)
  • LS is distinguished from other inotropic agents by this dual mechanism and considered as a good choice in high-risk patients undergoing cardiac surgery. (ispub.com)
  • This is particularly useful if the patient requires inotropic medications. (medscape.com)
  • Retrospective cohort study of consecutive CABG patients supported with VA-ECMO ( n = 166) at the Beijing Anzhen Hospital between February 2004 and March 2017. (biomedcentral.com)
  • We retrospectively evaluated consecutive patients who received VA-ECMO between February 2004 and March 2017 at the Beijing Anzhen Hospital. (biomedcentral.com)
  • We retrospectively analysed a database of 337 consecutive patients seen in the rapid access chest pain clinic: 162 patients were seen in the three months preceding, and 175 were seen in the three months following implementation of the new guidelines. (bjcardio.co.uk)
  • At the patient level, data were collected for 14 consecutive days on all patients presenting to CCUs, including information on demographics, intervention and treatment within 24 hours of CCU admission and 7-day outcome. (who.int)
  • The trial's 700 patients receiving OMT had been randomly assigned to undergo PCI or not, 347 and 353 patients, respectively. (medscape.com)
  • Patients undergoing aortocoronary bypass surgery were randomly assigned to receive cold (+10 ^oC, Group A, n: 36) or tepid (+29 ^oC, Group B, n: 47) blood cardioplegia. (tubitak.gov.tr)
  • After an initial pilot trial involving 17 patients, we randomly assigned, in a controlled crossover study, 75 patients with stable ischemic heart disease who had had a myo-cardial infarction at least 3 months previously to receive either no cell infusion (23 patients) or infusion of CPC (24 patients) or BMC (28 patients) into the patent coro-nary artery supplying the most dyskinetic left ventricular area. (pharmaceuticalintelligence.com)
  • Of these patients, we randomly assigned 298 to receive medical therapy plus CABG and 303 to receive medical therapy alone. (elsevierpure.com)
  • sex and lipids levels are less predictive in diabetic than nondiabetic patients ( 4 ), and silent ischemia is more common ( 5 ). (diabetesjournals.org)
  • When used in accordance with our protocol a positive DSE does not reliably identify patients at high cardiac risk during liver transplantation, but a negative DSE is strongly predictive of no myocardial injury. (elsevierpure.com)
  • Taken together, neural impulse control in the DLPFC measured with fMRI directly after a diet predicts real-world diet success in obese patients across extended time periods. (smadpathway.com)
  • In addition to postoperative infectious complications, postoperative myocardial ischemia is increased among patients with DM undergoing cardiac and noncardiac surgery. (medscape.com)
  • A cardiac risk stratification test that can be performed during operation would be expected to give valuable information for the therapeutic management of patients who need urgent noncardiac surgery. (silverchair.com)
  • [ 3 , 4 , 5 ] As data regarding the risks (and also safety) of noncardiac surgery in patients with PH continue to accumulate, it is imperative for anesthesiologists to be well versed in the disease and its sequelae. (medscape.com)
  • Patients with paradoxical LF-LG (35.0%), classic LF-LG (35.1%) and LF-high gradient (38.1%) had higher all-cause mortality at 3 years compared with NF-high gradient (24.8%) and NF-LG (27.9%) ( P =0.001). (omicsdi.org)
  • [6] Strategies to assess and decrease cardiac risk in these patients are especially important because patients undergoing urgent surgery have a markedly higher incidence of cardiac complications compared with patients having elective surgery. (silverchair.com)
  • Study III is a prospective trial, randomizing 60 elective CABG or valve replacement surgery patients to either anticoagulation with weight-based heparin dosing or using heparin and protamine titration with a bedside device. (5dok.org)
  • Mortality rates in diabetic patients have been estimated to be up to 5 times greater than in nondiabetic patients, often related to the end-organ damage caused by the disease. (medscape.com)
  • Early identification of pre-ECMO factors associated with mortality may prognosticate in post-CABG patients. (biomedcentral.com)
  • Chest trauma accounts for approximately 25% of mortality in trauma patients.1,2 This rate is much higher in patients with polytraumatic injuries. (saem.org)
  • Patients were followed for ≤9 years (mean 3.9 ± 2.3) for all-cause mortality. (diabetesjournals.org)
  • Approximately 50% of mortality in diabetic patients is related to coronary disease ( 1 ), and diabetes has a significant impact on outcome in patients with established coronary disease ( 2 ). (diabetesjournals.org)
  • After dobutamine testing, esmolol, nitroglycerin, or both were used to revert ischemia and any hemodynamic changes, as appropriate. (silverchair.com)
  • or =5 min) ischemia, or hemodynamic instability, occurred in any of the patients. (silverchair.com)
  • Ischemia was induced and detected in 73 of the 80 (91%) patients. (silverchair.com)
  • Inclusion criteria for the study were patients with normal EKG (no signs of cardiac ischemia) and negative cardiac enzymes, who were admitted to the Cardiac Decision Unit (CDU) from 2006-2008 at Emory University Hospital. (biomedcentral.com)
  • Of R4 myocardial segments available for analysis, 134 had fixed or resting perfusion abnormalities on standard MPI studies, of which 25% (33/134) in 12 patients showed partial improvement in the perfusion pattern whereas in 6% (8/134) the improvement was very significant in infusion studies. (uludag.edu.tr)
  • The efficacy of inspiratory muscle training in patients with coronary artery disease: Protocol for a systematic review and meta-analysis. (ottawaheart.ca)
  • Beta-adrenergic blocking agents should be administered with caution in patients subject to spontaneous hypoglycemia or to diabetic patients (especially those with labile diabetes) who are receiving insulin or oral hypoglycemic agents. (theodora.com)
  • However, sestamibi imaging is useful to identify patients with dysfunctional segments without contractile reserve which may benefit by revascularization. (cnr.it)
  • Still, he observed, "We all have had patients whom we have revascularized for symptoms, and their ejection fraction improved. (medscape.com)
  • We wanted to examine the impact of LV ejection fraction, mean pressure gradient, and stroke volume index on the outcome of patients treated by transcatheter aortic valve replacement. (omicsdi.org)
  • Obese patients had similar cardiac index to non-obese control patients, but had an elevated left ventricular ejection fraction suggesting hypersystolic function. (hkjr.org)
  • Typical terms patients use to describe this discomfort are pressure, tightness in the chest, chest pain or a burning sensation. (ersjournals.com)
  • The patient states that he was stabbed on the right side of his chest with an unknown object. (saem.org)
  • Diagnose, resuscitate, stabilize and manage chest trauma patients. (saem.org)
  • Identify common pathophysiologic conditions occurring in chest trauma patients. (saem.org)
  • Describe the components of a primary survey in a chest trauma patient. (saem.org)
  • Discuss the eventual disposition of chest trauma patients based on their diagnosis. (saem.org)
  • 85-90% of chest trauma patients can be rapidly stabilized and resuscitated by a handful of critical procedures. (saem.org)
  • For this reason, emergency medicine providers should be prepared to appropriately evaluate, resuscitate and stabilize any patient with chest trauma. (saem.org)
  • In patients who are awake and lucid, the chest trauma may present with chest pain, dyspnea, back or abdominal pain, and occasionally syncope. (saem.org)
  • Unstable chest trauma patients can also deteriorate to the point of traumatic arrest and depending on the mechanism of chest trauma, may be candidates for an emergent ED thoracotomy. (saem.org)
  • However, in comparison to penetrating trauma, blunt chest trauma patients may have a more subtle presentation with less obvious physical exam findings. (saem.org)
  • Chest trauma patients can present to the ED via Emergency Medical Services (EMS), often placed on a backboard and in a cervical collar. (saem.org)
  • making it likely that the clinician will encounter these changes when the patient is chest pain-free . (emguidewire.com)
  • Do not give digoxin to a patient with ventricular fibrillation. (studypk.com)
  • abstract = "Background: Hypersensitivity myocarditis (HSM) is associated with the use of multiple drugs and has been occasionally observed in patients awaiting heart transplantation (HTx). (mssm.edu)
  • After full hemodynamic recovering, the patient was discharged and returned to his daily activities. (hindawi.com)
  • The prevalence of intraoperative hemodynamic instability was significantly higher in patients who had evidence of myocardial injury, but hemodynamic instability was no more common in patients who had a positive DSE. (elsevierpure.com)
  • [7] For these patients, the guidelines suggest postoperative risk stratification. (silverchair.com)
  • Postoperative troponin elevation occurred in 14 patients. (elsevierpure.com)
  • We performed a case-control study on 792 patients undergoing cardiac surgery from 2016 to 2019, including 172 patients with postoperative MICS and 620 age- and sex-matched controls. (biomedcentral.com)
  • However, it undergoes high first-pass metabolism by the liver and on average, only about 25% of propranolol reaches the systemic circulation. (nih.gov)
  • There was no significant difference in the prevalence of troponin elevation in those patients with positive DSE versus those with negative DSE. (elsevierpure.com)
  • No significant difference was identified in the prevalence of troponin elevation when comparing those patients with cardiac risk factors who underwent DSE with those patients with no risk factors and no DSE performed. (elsevierpure.com)
  • A high prevalence of abnormally low cardiac index was observed in symptomatic patients. (hkjr.org)
  • This CUBIC ( c orrelation between u rinary bi omarker and organ failure in c ritically ill patients) study was a prospective observational study. (biomedcentral.com)
  • This study is a retrospective, observational, convenience sample study of patients who underwent cardiac surgery at a tertiary care center (Nanjing Drum Tower Hospital). (biomedcentral.com)
  • An estimated 25% of diabetic patients will require surgery. (medscape.com)
  • The ultimate goal in the management of diabetic patients is to achieve outcomes equivalent to those in patients without DM. (medscape.com)
  • This identifies patients at greater risk for cardiac complications following surgery so that appropriate testing and therapeutic measures can be taken. (cadth.ca)
  • In patients with non-allergic bronchospasm or with a history of non-allergic bronchospasm (e.g., chronic bronchitis, emphysema), carteolol should be administered with caution since it may block bronchodilation produced by endogenous and exogenous catecholamine stimulation of beta 2 receptors. (theodora.com)
  • This increased risk in the diabetic population is equivalent to the risk of nondiabetic patients after infarction ( 3 ), a finding that has engendered calls for more aggressive risk factor intervention in this group. (diabetesjournals.org)
  • 2 A patient was referred directly for a diagnostic coronary angiogram if the test was positive, which may have progressed to angioplasty, if necessary, or, if the patient was unable to undergo exercise electrocardiogram (ECG). (bjcardio.co.uk)
  • Patients referred for these noninvasive tests have a low to intermediate pretest likelihood of coronary artery disease and therefore a considerable number of patients have negative test results 6 . (ersjournals.com)
  • In this study, we investigated if these results could be translated to pediatric patients with Marfan syndrome. (stanford.edu)
  • RESULTS: Fifty-three patients with a median age of 80 (IQR, 77-84) years were evaluated. (bvsalud.org)
  • Results: HSM was observed in 21 patients (2.7%), but in no case was HSM clinically diagnosed. (mssm.edu)
  • The duration of tuberculosis treatment depends on the regimen chosen, the patient's clinical and radiographical responses, smear and culture results, and susceptibility of Mycobacterium tuberculosis isolates from the patient or the suspected source case. (who.int)
  • Optimizing Care of Cardiac Surgery Patients using a Digital Platform and a Multidisciplinary Team Approach. (ottawaheart.ca)
  • In study IV, plasma of 10 cardiac surgery patients was spiked with various concentrations of human plasma derived fibrinogen or recombinant human fibrinogen. (5dok.org)