INVESTIGATION INTO CARDIOVASCULAR ASSESSMENT OF CAPTIVE ADULT SCARLET IBIS (EUDOCIMUS RUBER)

Background. Patients (pts) diagnosed with congestive heart failure (HF) have been reported to have more frequent depression and worsened health related quality of life (HRQOL). Although depression is more common in women than men in this condition, the impact of HF on depression and HRQOL in men versus women is unclear. We sought to examine the relationship between pt sex, HF diagnosis, and pt-perceived depression and HRQOL. Methods. Depression (PHQ-9) and HRQOL (EQ5D) data were collected using tablet computers from pts presenting for routine outpatient cardiovascular assessment at our institution between November, 2010 and December, 2011. Demographic, clinical, and historical data was collected as per routine. We examined the association of pt sex and clinical diagnosis of HF with instrument results after adjusting for potential confounding information using mutliple linear regression. Results. Of 3046 pts (age 61±15), 39% were female and 8.7% were diagnosed with HF. Overall, PHQ-9 was greater, and minor or major depression (PHQ-9≥10) was more frequent, in women than men (4.6±4.6 vs. 3.3±4.4; 14.0% vs. 8.9%, both p<0.05) and in HF pts than pts without HF (5.9±5.6 vs. 3.6±4.3, 22.0% versus 9.6%; both p<0.05). Similarly, HRQOL was worse in women than men (EQ-5D 0.80±0.18 vs. 0.87±0.16; p<0.01) and in HF pts than no HF (EQ-5D 0.76±0.18 vs. 0.85±0.17; p<0.01). However, the difference in PHQ-9 between pts with versus without HF was greater in men (6.23±6.06 vs. 3.02±4.06, p<0.01) than women (5.43±4.85 vs. 4.55±4.58, p=0.09). After adjusting for cardiovascular diagnoses, comorbidities, clinical and demographic data, multivariable modeling of PHQ-9 revealed a significant interaction between pt sex and HF diagnosis (p=0.001; see Figure) such that women had greater PHQ-9 scores compared to men without HF, but in the setting of HF, mens' PHQ-9 scores were greater. Modeling of EQ-5D also revealed that after risk-adjustment an interaction between HF diagnosis and sex was present with a similar pattern of findings. Conclusion. Although depression is more frequent and severe in women compared to men, and in pts with versus without HF, HF appears to impact depression severity more in men compared to women.

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Abstract 2123: Gadolinium-DTPA-Exposure-Induced Systemic Inflammatory Response (GEISIR) in Patients with Chronic Renal Insufficiency

Circulation ◽

10.1161/circ.116.suppl_16.ii_460-a ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Henning Steen ◽

Evangelos Giannitsis ◽

Martin Zeier ◽

Vecat Schwenger ◽

Hugo A Katus

Keyword(s):

Inflammatory Response ◽

Contrast Agents ◽

Mri Contrast Agents ◽

Systemic Inflammatory Response ◽

Cardiovascular Mri ◽

Gadolinium Dtpa ◽

Iodinated Contrast ◽

Cardiovascular Assessment ◽

End Stage ◽

Esrd Patients

Background Cardiovascular morbidity is extraordinarily high in patients with chronic kidney disease (CKD) and accurate cardiovascular assessment is necessary. Due to the renal toxicity of certain contrast agents, this assessment has often been avoided. MRI contrast agents, such as gadolinium-DTPA, were originally thought to be a non-nephrotoxic alternative to iodinated contrast agents. The purpose of this study was to evaluate the safety of gadolinium-DTPA and to assess side effects in CKD patients who received gadolinium-DTPA during cardiovascular MRI. Methods Between August 2004 and December 2006, we longitudinally investigated 76 end-stage renal disease (ESRD) patients (70 haemodialysis=HD, 6 peritoneal dialysis=PD) who received gadolinium-DTPA during cardiovascular MRI. Results We report for the first time that 8% of ESRD patients experienced a gadolinium-DTPA-exposure-induced systemic inflammatory response (GEISIR). Furthermore, two of them previously not dialyzed CKD patients - rapidly progressed to end-stage renal failure. Conclusion Exposure to gadolinium-DTPA is not as harmless as was initially assumed. In ESRD patients, gadolinium-DTPA may induce severe adverse events, such as GEISIR. Therefore, short-term re-administration of gadolinium should be avoided in ESRD patients. Due to the extremely long half-life of gadolinium-DPTA, especially in PD patients, careful consideration should be given as to whether or not gadolinium-exposed patients require hemodialysis. Further data are imperative to determine optimal measures after gadolinium exposure in CKD patients

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Cardiovascular assessment in children: assessing pulse and blood pressure

Paediatric Care ◽

10.7748/paed.22.1.25.s30 ◽

2010 ◽

Vol 22 (1) ◽

pp. 25-36 ◽

Cited By ~ 1

Author(s):

Frances Howlin ◽

Maria Benner

Keyword(s):

Blood Pressure ◽

Cardiovascular Assessment

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Image Quality of ECG-Triggered High-Pitch, Dual-Source Computed Tomography Angiography for Cardiovascular Assessment in Children

Current Problems in Diagnostic Radiology ◽

10.1067/j.cpradiol.2018.10.006 ◽

2020 ◽

Vol 49 (1) ◽

pp. 23-28

Author(s):

Christian A. Barrera ◽

Hansel J. Otero ◽

Ammie M. White ◽

David Saul ◽

David M. Biko

Keyword(s):

Computed Tomography ◽

Image Quality ◽

Computed Tomography Angiography ◽

High Pitch ◽

Cardiovascular Assessment ◽

Dual Source ◽

Dual Source Computed Tomography

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