The Effects of Cardiac Revascularization on the Remodeling Process

2005 ◽  
pp. 389-416
Author(s):  
Victor A. Ferrari ◽  
Craig H. Scott ◽  
Martin St. John Sutton
Keyword(s):  
Cardiac Revascularization

Cardiac Revascularization in Specialty and General Hospitals

2005 ◽  
Vol 14 (7) ◽  
pp. 33
Author(s):  
P. Cram ◽  
G.E. Rosenthal ◽  
M.S. Vaughan-Sarrazin
Keyword(s):  
General Hospitals ◽  
Cardiac Revascularization

scholarly journals PDG4: THE DIFFERENTIAL EFFECT OF SULPHONYLUREA OR BIGUANIDE DRUGS ON CARDIAC REVASCULARIZATION PROCEDURES IN DIABETICS

2001 ◽  
Vol 4 (6) ◽  
pp. 503
Author(s):  
L Shilo ◽  
S Klang ◽  
N Bar-Joseph ◽  
A Hamerman ◽  
N Lieberman ◽  
...  
Keyword(s):  
Differential Effect ◽  
Cardiac Revascularization ◽  
Revascularization Procedures

scholarly journals P260 Left ventricular pseudoaneurysm manifesting as syncope

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
J A Da Conceicao Pedro Pais ◽  
B Picarra ◽  
K Congo ◽  
M Carrington ◽  
A R Santos ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Pericardial Effusion ◽  
Coronary Disease ◽  
Transthoracic Echocardiography ◽  
Lateral Wall ◽  
Left Ventricular ◽  
Inferior Wall ◽  
Cardiac Revascularization ◽  
Revascularization Surgery

Abstract Introduction Left ventricular (LV) pseudoaneurysms form when cardiac rupture is contained by adherent pericardium or scar tissue. LV pseudoaneurysm is one of the mechanical complications of myocardial infarctions (MI), particularly inferior wall MI. Although LV pseudoaneurysms are not common, the diagnosis is difficult and they are prone to rupture. Transthoracic echocardiography is commonly used in clinical practice and is usually sufficient to make the diagnosis of LV pseudoaneurysm. Regardless of treatment, patients with LV pseudoaneurysms had a high mortality rate, especially those who did not undergo surgery. Description of the clinical case 74 years-old woman, with previous history of hypertension, dyslipidaemia and type 2 diabetes and stable coronary disease. In June 2018 the patient underwent coronary angiography that revealed left main and 3 vessels coronary disease, Cardiac revascularization surgery was proposed that the patient refused. The patient was stable during 6 months. Four days before presenting to emergency department the patient mentioned intermittent pre-cordial pain associated with exertion. At admission day she felt intense pre-cordial pain, accompanied by sudoresis and nausea, relieving with sublingual nitrate. The patient was hemodynamically stable at admission. Electrocardiogram showed sinus rhythm 65 bpm with 2mm ST-elevation of inferior leads. Troponin I was positive 30 ng/dL. Echocardiogram revealed marked hypokinesia of inferior and lateral wall with moderate depression of global systolic function ans presence of slight circumferential pericardial effusion (6mm in diastole on lateral wall) Emergent coronariography was performed and revealed progression of coronary disease of the right coronary artery with sub-occlusion of the mid segment. Cardiac revascularization surgery was proposed and the patient accepted this time. Echocardiogram was repeated during hospitalization revealed a stable pericardial effusion with reduced dimension comparing to admission. After 3 weeks, while waiting surgery in the ward, the patient was a syncope that resulted in fracture of the distal peroneum. Ecocardiogram was performed and revealed a LV posterior wall pseudoaneurysm through a narrow neck in parasternal long axis view and the presence of large pericardial effusion (Fig 1). The patient was submitted to definitive reparative cardiac surgery with pericardium patch and coronary artery bypass graft from left internal mammary to anterior descending coronary artery. The patient recovered well from the cardiac surgery and at 2 months follow up is alive and without signs of heart failure. This case illustrates the complexity in the management of patients with LV pseudoaneurysm. These patients require substantial critical care, imaging and surgical expertise. A high clinical index of suspicion is needed to avoid missing the diagnosis LV pseudoaneurysm and transthoracic echocardiography is essential to establish the diagnosis. Abstract P260 Figure. Fig 1 - LV pseudoaneurysm

Is bariatric surgery safe in patients with history of cardiac revascularization?

2020 ◽  
Vol 16 (11) ◽  
pp. 1757-1763
Author(s):  
Luis Felipe Okida ◽  
Juliana Henrique ◽  
Mauricio Sarmiento-Cobos ◽  
Emanuele Lo Menzo ◽  
Samuel Szomstein ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
History Of ◽  
Cardiac Revascularization

Blood product use in cardiac revascularization: comparison of on- and off-pump techniques

1999 ◽  
Vol 68 (5) ◽  
pp. 1640-1643 ◽  
Author(s):  
Nader D Nader ◽  
Wiam Z Khadra ◽  
Neal T Reich ◽  
Douglas R Bacon ◽  
Tomas A Salerno ◽  
...  
Keyword(s):  
Blood Product ◽  
Off Pump ◽  
Product Use ◽  
Cardiac Revascularization

Considerations in Cardiac Revascularization for the Elderly Patient: Age Isn't Everything

2016 ◽  
Vol 32 (9) ◽  
pp. 1132-1139 ◽  
Author(s):  
Deirdre E. O'Neill ◽  
Merril L. Knudtson ◽  
Teresa M. Kieser ◽  
Michelle M. Graham
Keyword(s):  
Elderly Patient ◽  
The Elderly ◽  
Patient Age ◽  
Patient Âgé ◽  
Cardiac Revascularization

The Relationship between the Supply of Cardiac Catheterization Laboratories, Cardiologists and the use of Invasive Cardiac Procedures in Northern New England

1997 ◽  
Vol 2 (2) ◽  
pp. 75-80 ◽  
Author(s):  
David Wennberg ◽  
John Dickens ◽  
David Soule ◽  
Mirle Kellett ◽  
David Malenka ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
New England ◽  
Utilization Review ◽  
Appropriateness Criteria ◽  
Cardiac Procedures ◽  
Service Areas ◽  
Northern New England ◽  
Per Capita ◽  
Cardiac Revascularization ◽  
The Relationship

Objectives: Utilization rates of coronary angiography and cardiac revascularization have been found to vary between areas. This study addresses the relationship between resource supply and procedure rates. Methods: We compared the association of per capita catheterization laboratories, per capita cardiologists and multi-provider markets (where more than one hospital offers coronary angiography services) with the utilization rates for angiography and cardiac revascularization in northern New England, USA. Administrative data were used to capture invasive cardiac procedures. Small area analyses were used to create coronary angiography service areas. Linear regression methods were used to measure associations between the resource supply and utilization rates. Results: Variation in the use of invasive cardiac procedures was strongly associated with the population-based availability of catheterization facilities and multi-provider markets and unrelated to cardiologist supply or need (as reflected in the hospitalization rates for myocardial infarction). In the multivariate model, an increase of 1 catheterization laboratory per 100 000 population was associated with an increase in the angiography rate of 1.62 per 1000 population; those service areas with multi-provider markets were associated with an additional increase in the angiography rate of 1.27 per 1000 population ( R2= 0.84, P = 0.0006). There was a moderately strong relationship between the catheterization laboratories per capita and the revascularization rates ( R2 = 0.43, P = 0.029). Angiography rates were highly associated with cardiac revascularization rates: An increase in the angiography rate of 1 per 1000 population was associated with a 0.46 per 1000 increase in the cardiac revascularization rate ( R2 = 0.85, P = 0.0001). Conclusions: Our work suggests that current efforts to address variation in cardiac procedures through activities such as appropriateness criteria, guidelines and utilization review are misdirected and should be redirected towards capacity, in this case the supply of catheterization facilities.

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