Inappropriate shock and percutaneous cardiac intervention: A lesson to learn in the cath lab

2019 ◽  
Vol 42 (11) ◽  
pp. 1496-1498
Author(s):  
Giuseppe Di Stolfo ◽  
Sandra Mastroianno ◽  
Raimondo Massaro ◽  
Carlo Vigna ◽  
Aldo Russo ◽  
...  
Keyword(s):  
Inappropriate Shock ◽  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

scholarly journals Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
José Luis Vázquez Martínez ◽  
Kary Leonisa Quiñones Coneo ◽  
Tomas Villen Villegas ◽  
María Sánchez Porras ◽  
Cesar Pérez-Caballero Macarrón ◽  
...  
Keyword(s):  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

scholarly journals Non-cardiac surgery 2 weeks after percutaneous cardiac intervention

2009 ◽  
Vol 102 (5) ◽  
pp. 719-720
Author(s):  
K.N. Saxena ◽  
S. Kumar ◽  
B. Taneja ◽  
P. Gaba
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

Does cardioplegia leave room for postconditioning in paediatric cardiac surgery?

2008 ◽  
Vol 18 (3) ◽  
pp. 282-287 ◽  
Author(s):  
Wanjun Luo ◽  
Bei Li ◽  
Guoqiang Lin ◽  
Ri Chen ◽  
Rimao Huang
Keyword(s):  
Creatine Kinase ◽  
Cardiac Surgery ◽  
Myocardial Protection ◽  
Troponin I ◽  
Control Treatment ◽  
Cardioplegic Arrest ◽  
Cardiac Intervention ◽  
Creatine Kinase Mb ◽  
Cold Blood ◽  
Percutaneous Cardiac Intervention

AbstractBackgroundPostconditioning by brief episodes of ischaemia performed just at the time of reperfusion have been shown to reduce the size of infarcts in animal models, and in the clinical setting of percutaneous cardiac intervention. The clinical applicability of postconditioning in cardiac surgery remains to be determined. We investigated the effect of postconditioning on myocardial protection in children undergoing cardiac surgery.MethodsWe randomly assigned 40 patients scheduled for surgical correction of congenitally malformed hearts under cold blood cardioplegic arrest to postconditioning or control treatment. Postconditioning was performed by two cycles of 30 seconds ischaemia and 30 seconds reperfusion using aortic reclamping, and declamping started 30 seconds after cardioplegic arrest. We assayed creatine kinase-MB, troponin I, transcardiac release of lactate and neutrophil counts.ResultsThe types of procedure, age, bypass and aortic cross-clamping times were similar in both groups. The postoperative peaks of creatine kinase-MB and troponin I were lower after aortic de-clamping in the postconditioned patients compared with their controls (128 ± 48 units per liter as opposed to 199 ± 79 units per liter, p = 0.016, and 0.34 ± 0.21 nanograms per milliliter as opposed to 0.61 ± 0.53 nanograms per milliliter, p = 0.05), with reduced inotropic scores in those submitted to postconditioning compared with their controls (4.8 ± 3.1 versus 2.3 ± 1.5, p = 0.036). Transcardiac release of lactate was reduced in the postconditioned patients compared with their controls (0.10 ± 0.27 as opposed to 0.37 ± 0.43 millimols per liter, p = 0.048). No differences between groups were found for transcardiac neutrophil count during reperfusion (10.8 ± 6.3% for postconditioning versus 14.0 ± 8.7% for controls, p = 0.48).ConclusionsOur study demonstrates that postconditioning may protect the myocardium of children undergoing cold blood cardioplegic arrest. These data support the need for a larger clinical trial of postconditiong in children undergoing cardiac surgery.

AN INTERVENTIONAL CARDIOLOGY INVESTIGATION: PATIENT EXPOSURE TO RADIATION AND INTER-OPERATOR VARIABILITY IN AN IRISH SETTING

2020 ◽  
Vol 192 (1) ◽  
pp. 89-96
Author(s):  
Joseph Anderson ◽  
Moreno Zanardo ◽  
Brian Smyth ◽  
Lis Fox ◽  
Ashna Anderson ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Interventional Cardiology ◽  
Patient Exposure ◽  
Reference Levels ◽  
Cardiac Intervention ◽  
Operator Training ◽  
Personal Perceptions ◽  
Percutaneous Cardiac Intervention ◽  
Patient Radiation Exposure ◽  
Diagnostic Coronary Angiography

Abstract Aim: To evaluate patient radiation exposure for Diagnostic Coronary Angiography (DCA) and Percutaneous Cardiac Intervention (PCI) performed by different operators. Methods and Results: Retrospective (n = 160) and prospective (n = 62) data for DCA (n = 179) and PCI (n = 43) examinations performed by interventional cardiologists (n = 3) using the same imaging equipment were reviewed. The operator with consistently low diagnostic reference levels (DRLs) was interviewed for their personal perceptions upon operator training. Retrospective Median [IQR] DAP was 18.8 [11.8–31.6] and 50.7 [35.3–85.6] Gy.cm2 for DCA and PCI, respectively. Prospective Median [IQR] DAP for DCA and PCI was 7.9 [5.2–10.6] and 15.9 [10.0–17.7] Gy.cm2, respectively. DRLs were within Irish and European DRLs; however, significant inter-operator variability (p < .001) was identified. Conclusion: Radiation exposure in Interventional cardiology is highly operator dependent; further research is warranted in standardization of operator training with evolving technologies.

Usefullness of Serial Serum Troponin T Measurements for Evaluating Myocardial Damage Associated with Elective Percutaneous Cardiac Intervention

2005 ◽  
Vol 11 (9) ◽  
pp. S315
Author(s):  
Hidetoshi Sato ◽  
Toshio Shimada ◽  
Hiroyuki Tahara ◽  
Takahiko Suzuki ◽  
Yoshifumi Hirano ◽  
...  
Keyword(s):  
Troponin T ◽  
Myocardial Damage ◽  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention ◽  
Serial Serum
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