scholarly journals Injection of Bupivacaine into the Pleural and Mediastinal Drains: A Novel Approach for Decreasing Incident Pain After Cardiac Surgery – Montreal Heart Institute Experience

2020 ◽  
Vol Volume 13 ◽  
pp. 3409-3413
Author(s):  
Jennifer Cogan ◽  
Maud André ◽  
Gabrielle Ariano-Lortie ◽  
Anna Nozza ◽  
Meggie Raymond ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Montreal Heart Institute ◽  
Heart Institute ◽  
Novel Approach ◽  
Incident Pain

107 Pericardiectomy - The Montréal Heart Institute Experience

2012 ◽  
Vol 28 (5) ◽  
pp. S128
Author(s):  
C. Chen ◽  
M. Laflamme ◽  
D. Bouchard ◽  
Y. Hébert ◽  
M. Carrier ◽  
...  
Keyword(s):  
Montreal Heart Institute ◽  
Heart Institute

Abstract 17214: Differential Relationships Between Serum Cholesterol Efflux Capacities Measured From Three Cell Models and Coronary Artery Disease Status in the Montreal Heart Institute Biobank

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
David Rhainds ◽  
Low-Kam Cecile ◽  
Boulé Marie ◽  
Alem Sonia ◽  
Mongrain Ian ◽  
...  
Keyword(s):  
Cholesterol Efflux ◽  
Hdl Cholesterol ◽  
Disease Status ◽  
Cell Types ◽  
P Value ◽  
Montreal Heart Institute ◽  
Cholesterol Efflux Capacity ◽  
Heart Institute ◽  
Control Serum ◽  
The Difference

Recent clinical trials and Mendelian randomization studies suggest that raising HDL-cholesterol (HDL-C) concentration by itself is insufficient to lower cardiovascular (CV) risk, despite the established inverse relationship between HDL-C and cardiovascular risk. CV protection may derive from other characteristics of HDL. Such characteristics include the cholesterol efflux capacity of serum, the process by which HDL particles accept cholesterol from macrophages and other cell types. Recently, higher cholesterol efflux capacity was inversely associated with incident CV events over a >9 year period of follow-up, with a 67% risk reduction in the highest quartile of efflux. In our study, cholesterol efflux capacity was measured for 2000 patients from the Montreal Heart Institute Biobank as the ratio of pooled control serum. When comparing unadjusted cholesterol efflux values between 1000 controls and 1000 cases with previous myocardial infarction (MI), we observed significant decreases of efflux capacity in cases with J774 macrophages in basal and cAMP-stimulated conditions, with human HepG2 hepatocytes and with BHK cells expressing human ABCA1. In regression models of MI status against efflux variables, also adjusted for age, sex, HDL-C, triglycerides and statin use, the reduction in cholesterol efflux capacity in cases vs. controls remained highly significant for J774 cells in basal (p value = 5.8x10-11) and cAMP-stimulated conditions (p = 5.3x10-8), while the difference was lost with HepG2 cells (p=0.16) and was reversed for ABCA1-dependent efflux using BHK-ABCA1 cells (p=5.9x10-4). Thus, the relationship of cholesterol efflux capacity of serum HDL and cardiovascular status is heterogeneous, which suggest that the repertoire of cholesterol transporters expressed in cells and samples characteristics, such as the HDL proteome and lipidome, interact in a unique manner for each cell type. Future work will consist in identifying sources of such differences at the molecular level.

scholarly journals Targeted Temperature Management After Cardiac Arrest: The Montreal Heart Institute Experience

CJC Open ◽  
2019 ◽  
Vol 1 (5) ◽  
pp. 238-244
Author(s):  
Nadia Boulé-Laghzali ◽  
Laura Dominguez Pérez ◽  
Katia Dyrda ◽  
Jean-François Tanguay ◽  
Malorie Chabot-Blanchet ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Targeted Temperature Management ◽  
Temperature Management ◽  
Montreal Heart Institute ◽  
Heart Institute

scholarly journals A Novel Approach to Essential Thrombocythemia and Cardiac Surgery

2017 ◽  
Vol 103 (3) ◽  
pp. e249-e250 ◽  
Author(s):  
Bradford B. Smith ◽  
Gregory A. Nuttall ◽  
Rajiv K. Pruthi ◽  
David L. Joyce ◽  
Matthew S. Schuldes ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Essential Thrombocythemia ◽  
Novel Approach

Cardiology in the Young: Where we have been. Where we are. Where we are going.

2014 ◽  
Vol 24 (6) ◽  
pp. 981-1007 ◽  
Author(s):  
Jeffrey P. Jacobs
Keyword(s):  
Cardiac Surgery ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Continuing Professional Development ◽  
Active Role ◽  
Cardiac Care ◽  
Research Education ◽  
Heart Institute ◽  
Cardiothoracic Surgeon

AbstractCardiology in the Youngis devoted to cardiovascular issues affecting the young, and older patients with congenital heart disease, or with other cardiac diseases acquired during childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in its mission, helping to make it an indispensable reference for paediatric and congenital cardiac care. All aspects of paediatric and congenital cardiac care are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development. High-quality colour figures are published on a regular basis, and without charge to the authors. Regular supplements are published containing the abstracts of the annual meetings of the Association for European Paediatric and Congenital Cardiology, along with other occasional supplements. These supplements are supplied free to subscribers.The vision ofCardiology in the Youngis to use print and electronic media to improve paediatric and congenital cardiac care.The mission ofCardiology in the Youngis to be a premier global journal for paediatric and congenital cardiac care – an essential journal that spans the domains of patient care, research, education, and advocacy, and also spans geographical, temporal, and subspeciality boundaries.Cardiology in the Youngwas officially launched in December, 1990. The late Lucio Parenzan was Editor-in-Chief from 1990 through Volume 4, Number 1, January 1994. Professor Robert Anderson and Giancarlo Crupi then shared the Editor-in-Chief position until the end of 1995. Then, from 1995 through 2007, Professor Robert Anderson served as the sole Editor-in-Chief ofCardiology in the Young. Edward Baker, MD, FRCP, FRCPCH, served as Editor-in-Chief ofCardiology in the Youngfrom 2007 to 2013. In January, 2014, Jeffrey P. Jacobs, MD, FACS, FACC, FCCP, became Editor-in-Chief ofCardiology in the Young.Jeffrey P. Jacobs, MD, FACS, FACC, FCCP is Director of the Andrews/Daicoff Cardiovascular Program at Johns Hopkins All Children’s Heart Institute and Professor of Cardiac Surgery in the Division of Cardiac Surgery of the Department of Surgery at Johns Hopkins University. He is also Surgical Director of the Heart Transplantation Program and Director of the Extracorporeal Life Support Program at Johns Hopkins All Children’s Heart Institute. Dr Jacobs has been a cardiothoracic surgeon at All Children’s Hospital since 1998.

scholarly journals A retrospective study on atrial fibrillation after coronary artery bypass grafting surgery at The National Heart Institute, Kuala Lumpur

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 164 ◽  
Author(s):  
Ahmad Farouk Musa ◽  
Chou Zhao Quan ◽  
Low Zheng Xin ◽  
Trived Soni ◽  
Jeswant Dillon ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Cost Of Care ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Heart Institute

Background: Atrial fibrillation (AF) is common after cardiac surgery and has been associated with poor outcome and increased resource utilization. The main objective of this study is to determine the incidence of POAF in Malaysia and identify the predictors of developing POAF. The secondary outcome of this study would be to investigate the difference in mortality and morbidity rates and the duration of intensive care unit (ICU), high dependency unit (HDU) and hospital stay between the two. Methods: This is a retrospective single-center, cross sectional study conducted at the National Heart Institute, Malaysia. Medical records of 637 who underwent coronary artery bypass grafting (CABG) surgery in 2015 were accrued. Pre-operative, operative and post-operative information were subsequently collected on a pre-formulated data collection sheet. Data were then analyzed using IBM SPSS v23. Results: The incidence of POAF in our study stands at 28.7% with a mean onset of 45±33 hours post operatively. Variables with independent association with POAF include advancing age, Indian population, history of chronic kidney disease, left ventricular ejection fraction and beta-blocker treatment. The mortality rate is significantly higher statistically (p < 0.05), and similarly the incidence of stroke. The incidence of other post-operative complications was also significantly higher statistically. The duration of ICU, HDU and hospital stays were statistically longer (p < 0.001) with higher rates of ICU readmissions and reintubations seen. Conclusion: We conclude that the incidence of POAF in Malaysia is comparable to the figures in Western countries, making POAF one of the most commonly encountered condition after CABG with similar higher rates of mortality, poor outcomes and longer duration of stay, and therefore increased cost of care. Strategies to reduce the incidence of AF after cardiac surgery should favorably affect surgical outcomes and reduce utilization of resources and thus lower cost of care.

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