Science topic

Cardiology - Science topic

Cardiology - serves as a discussion platform for clinicians, clinical researchers or basic scientists interested in cardiovascular diseases. For those of you also interested in cardiac electrophysiology please check out the two complementing groups “Cardiac Electrophysiology” and “Catheter Ablation of Arrhythmias”.
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Background Estimation of pulmonary pressures is of key importance in acute cardiovascular and respiratory failure. Pulmonary artery acceleration time (PAAT) has emerged as reliable parameter for the estimation of systolic pulmonary artery pressure (sPAP) in cardiological population with preserved right ventricular function. We sought to find whethe...
Article
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Simulation-based procedure training is now integrated within health professions education with literature demonstrating increased performance and translational patient-level outcomes. The focus of published work has been centered around description of such procedural training and the creation of realistic part-task models. There has been little att...
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Objectives Performing medication reconciliation (MR) is an important safety initiative. However, its implementation is complex. We used the Functional Resonance Analysis Method (FRAM) to gain more understanding of healthcare professionals’ low compliance with the standards for MR by comparing Dutch guidelines and hospital protocols (Work-as-Imagine...
Article
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The phonocardiogram (PCG) signal deciphers the mechanical activity of the heart, and it consists of the fundamental heart sounds (S1 and S2), murmurs, and other associated sounds (S3 and S4). Detection of fundamental heart sound activity(FHSA) is vital for the automated analysis of PCG signals to diagnose various heart valve diseases. This paper pr...
Article
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A 62‐year‐old man presents to the Cardiology Department with a history of angina on exertion. Invasive coronary angiography revealed a severe three vessels coronary artery disease. The “Hybrid Heart Team” successfully performed a fully robotically assisted hybrid revascularization combining robotically enhanced‐minimally invasive direct coronary ar...
Article
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Photoacoustic microscopy (PAM) is used to visualize blood vessels and to monitor their time-dependent changes. Photoplethysmography (PPG) measures hemodynamic time-series changes such as heart rate. However, PPG’s limited visual access to the dynamic changes of blood vessels has prohibited further understanding of hemodynamics. Here, we propose a n...
Article
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Myocardial infarction (MI) is a common cardiovascular disease caused by permanent loss of cardiomyocytes and the formation of scar tissue due to myocardial ischemia. Mammalian cardiomyocytes lose their ability to proliferate almost completely in adulthood and are unable to repair the damage caused by MI. Therefore, transplantation of exogenous cell...
Conference Paper
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Background: Duke treadmill score (DTS) (sum of exercise duration, ST segment deviation and angina index) from exercise treadmill test (ETT) is validated for prediction of severe coronary artery disease (CAD). Rate-pressure product (RPP) (of peak heart rate and peak systolic blood pressure) is another composite score from ETT reflecting the exercise...
Conference Paper
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Background: Rate-pressure product (RPP) of peak heart rate and peak systolic blood pressure during exercise treadmill test (ETT) reflects the exertional stress on the heart. Objective: We aimed to assess the relationship between RPP and severity of coronary artery disease (CAD). Materials and Methods: We retrospectively studied 20 patients who were...
Article
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Purpose of Review Cardiac computed tomography (CT) is becoming a more widely applied tool in the diagnosis and management of a variety of cardiovascular conditions, including heart failure. The aim of this narrative review is to examine the role of cardiac CT in patients with heart failure. Recent Findings Coronary computed tomographic angiography...
Article
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A patient with extensive abdominal and pelvic procedures following a motor vehicle accident who had Inferior Vena Cava Filter (IVCF) implantation due to contraindication to other anticoagulation therapies presents with severe lower abdominal and back pain, fever, left lower extremity, and subsequent right lower extremity swelling. Venous Doppler ul...
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Purpose of Review The current care model of type 2 diabetes (T2D) and its complications appears to be “asynchronous” with patient care divided by specialty. This model is associated with low use of guideline-directed medical therapies. Recent Findings The use of integrated care models has been well described in the management of patients with T2D;...
Article
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Background Transcatheter aortic valve replacement (TAVR) is now an established treatment option for patients with severe aortic stenosis. The most utilized approach remains transfemoral. In patients with difficult femoral access a variety of alternate approaches have been used. Recently, suprasternal access has emerged as a viable alternate approac...
Article
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Purpose of Review For decades, the standard of care for stable ischemic heart disease (SIHD) has been an ischemia-centric approach based on largely observational data suggesting a survival benefit of revascularization in patients with moderate-or-severe ischemia. In this article, we will objectively review the evolution of the ischemia paradigm, th...
Article
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Objectives To investigate the clinical benefit of endovascular revascularisation (EVR) in octogenarian (aged ≥80 years) patients with lower extremity artery disease (LEAD). Design Retrospective single-centre study. Setting University hospital with a specialised centre for vascular medicine. Participants 681 LEAD patients undergoing EVR between 2...
Article
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Pediatricians must be able to diagnose, triage, and manage infants and children with congenital heart disease. The pediatric cardiology division at the Medical University of South Carolina updated their curriculum for pediatric residents to a format supported by constructivist learning theory. The purpose of this study is to determine if shorter, i...
Article
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Background The status of hypertension in patients with atrial fibrillation (AF) remains unknown in China. Methods This study used data from patients hospitalized with AF recruited by the Improving Care for Cardiovascular Disease in China-AF (CCC-AF) project from 236 hospitals enrolled by geographic-economic level in China from 2015 to 2019. The pr...
Article
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Background Myocardial perfusion imaging (MPI) using positron emission tomography (PET) tracers is an essential tool in investigating diseases and treatment responses in cardiology. ⁸² Rubidium ( ⁸² Rb)-PET imaging is advantageous for MPI due to its short half-life, but cannot be used for small animal research due to the long positron range. We aime...
Article
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A 26-year-old woman presented with extensive bluish violet nodules on both hands and feet. She reported gradual asymmetric growth on the whole body over the last 20 years, which seriously affected her daily life. Informed consent was obtained, and the patient agreed to publish the case details and images.
Article
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Background There is significant variability in the performance and outcomes of invasive medical procedures such as percutaneous coronary intervention, endoscopy, and bronchoscopy. Peer evaluation is a common mechanism for assessment of clinician performance and care quality, and may be ideally suited for the evaluation of medical procedures. We the...
Article
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Background In Patients suffering from post-COVID syndrome, in addition to physical limitations, cognitive limitations, fatigue, dyspnea as well as depression and anxiety disorders may also be present. Up to now (as of May 2022), approx. 514 million people worldwide have been infected with SARS-CoV-2, in Germany this affects approx. 25 million. In G...
Article
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In the last two decades, stillbirth has caused around 2 million fetal deaths worldwide. Although current ultrasound tools are reliably used for the assessment of fetal growth during pregnancy, it still raises safety issues on the fetus, requires skilled providers, and has economic concerns in less developed countries. Here, we propose deep coherenc...
Article
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BACKGROUND: Some studies have assessed the incidence of heart defects in children suffering from Infantile Hemangioma to be treated with propranolol, showing a possible higher prevalence of cardiac abnormalities in this group of patients. METHODS: We retrospectively reviewed clinical charts of children with infantile haemangiomas referred to our D...
Article
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Purpose of the study, Medical and non-medical materials used in the Düzce University Hospital Cardiology, Chest Diseases and Pediatric Health and Diseases units to deviation analysis according to the standard cost method and to provide useful information to the hospital management in terms of cost control. The data of this study which is a qualitat...
Article
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Racism is an ongoing public health crisis, and racial inequities in health, many of which are institutionally derived, have proven resistant to attempts at their rectification. Brigham and Women's Hospital and The University of Virginia Medical Center (UVMC) have documented a specific racial inequity in access to specialty cardiology care for Black...
Article
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Objective: Gene variations in the gene encoding endothelial nitric oxide synthase (eNOS) may impact the initiation of coronary heart disease (CHD). Insufficient production of nitric oxide (NO) is the most obvious cause of endothelial dysfunction. The aim of this study was to investigate polymorphisms in the eNOS genes G894T and T786C that influence...
Article
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The number of oncological patients who may benefit from proton beam radiotherapy (PBT) or carbon ion radiotherapy (CIRT), overall referred to as particle radiotherapy (RT), is expected to strongly increase in the next future, as well as the number of cardiological patients requiring cardiac implantable electronic devices (CIEDs). The management of...
Article
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Background: Cardiovascular disease is a frequent complication after kidney transplantation and represents the leading cause of mortality in this population. Material and methods: We searched for the relevant articles in the National Institutes of Health library of medicine, transplant, cardiologic and nephrological journals. Results: The patho...
Article
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The effect of long gaming sessions on energy intake, caffeine intake, blood pressure, heart rate, heart rate variability, and biochemical cardiac injury markers is unknown. The objective of this exploratory study was to investigate the changes in healthy male adults during two consecutive 18-hour sedentary video gaming sessions. Nine participants w...
Article
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a The authors contributed equally. Summary: Background: The COVID-19 pandemic has changed everyday life and work in many ways. As travelling to meetings and conferences was almost completely suppressed for most of healthcare professionals, e-Learning became increasingly prominent. The overall utility of e-Learning during the COVID-19 pandemic as we...
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The recent pandemic with SARS-CoV-2 raises questions worldwide regarding telemedicine for housebound patients, including those with cardiovascular conditions. The need for further investigation, monitoring and therapeutic management are advancing practical issues which had not been identified for consideration prior to the pandemic. Using the marke...
Preprint
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The harvest of wild plants with medicinal uses is increasing globally, but we know little of the effects of non-commercial harvesting in their conservation status. Here, we explore the connection between the cultural importance of the 1,376 wild medicinal vascular plants traditionally used in Spain for self-treatment (22% of the autochthonous flora...
Article
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a The authors contributed equally. Summary: Background: The COVID-19 pandemic has changed everyday life and work in many ways. As travelling to meetings and conferences was almost completely suppressed for most of healthcare professionals, e-Learning became increasingly prominent. The overall utility of e-Learning during the COVID-19 pandemic as we...
Article
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Background Singing is a physical activity involving components of the vagal nerves manifested as changes in cardiac autonomic regulation. Aims The aim of this pilot study is to investigate the acute effects of singing on biomarkers of cardiovascular health. Methods Adult subjects were recruited from cardiology clinics to participate in a single 9...
Article
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Tricuspid atresia is a congenital malformation of the tricuspid valve resulting in a lack of blood flow between the right atrium and the right ventricle. Management generally involves staged surgical intervention enabling affected individuals to survive into adulthood. Although surgical intervention greatly improves morbidity and mortality in this...
Article
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Purpose: This cross-sectional study aims to evaluate the actual prevalence of telemedicine, with a particular attention to teleophthalmology programs, in the Piedmont region of Northern Italy and investigate the prospects of the discipline, comparing the situation with the rest of Italy. Information about the current teleophthalmological developme...
Article
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Background Sarcopenia is a well-established risk factor for atherosclerotic cardiovascular disease (ASCVD), but its relationship with chronic obstructive pulmonary disease (COPD) has not been fully determined. This study is aimed to investigate the association between sarcopenia and risk for ASCVD in patients with COPD, independent of central obesi...
Article
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Background: Frailty syndrome (FS) is a syndrome characterized by a reduction in the body's physiological reserves as a result of the accumulation of reduced efficiency of many organs and systems. Experts of the Heart Failure Association of the European Society of Cardiology (ECS) emphasize the need to assess frailty in all patients with heart fail...
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A key emergent property of group social dynamic is synchrony-the coordination of actions, emotions, or physiological processes between group members. Despite this fact and the inherent nested structure of groups, little research has assessed physiological synchronization between group members from a multi-level perspective, thus limiting a full und...
Article
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Purpose of Review Lipoprotein(a) (Lp(a)) is a proinflammatory and atherogenic molecule that is emerging as an important biomarker of cardiovascular (CV) risk. It has been implicated in the pathogenesis of both atherosclerotic cardiovascular disease (ASCVD) and aortic valve stenosis. An estimated 10–30% of the global population has elevated Lp(a) le...
Article
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The study aimed to examine the pairing relationship between economic growth and psychological human behavior (psychological well-being) of the individuals by application of the homo-hetero pairing effect correlation coefficient technique. The cross-sectional data were used. The data were collected from 211 individuals randomly sampled from two regi...
Article
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Chronic heart failure (CHF) is one of the most pressing problems in modern cardiology, and the prevalence and diagnosis of this disease is increasing due to improvements in medical diagnosis and treatment, increased patient life expectancy, and advances in cardiology. This article discusses the specifics of the clinical course of CHF, modern trends...
Article
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Neonates with congenital heart disease (CHD) are at an increased risk of developing ne-crotizing enterocolitis (NEC), an acute inflammatory intestinal injury most commonly associated with preterm infants. The rarity of this complex disease, termed cardiac NEC, has resulted in a dearth of information on its pathophysiology. However, a higher inciden...
Article
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Artificial intelligence (AI) will change the face of nuclear medicine and molecular imaging as it will in everyday life. In this review, we focus on the potential applications of AI in the field, both from a physical (radiomics, underlying statistics, image reconstruction and data analysis) and a clinical (neurology, cardiology, oncology) perspecti...
Article
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Background Our goal was to improve pediatric residents' advanced communication skills in the setting of referral to address the entrustable professional activity of subspecialty referral identified by the American Board of Pediatrics. To accomplish this aim, we created a referral and consultation curriculum to teach and assess core communication sk...
Article
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Background The organizational structure of cardiothoracic surgery practices varies among different programs throughout the United States (U.S.). We aimed to investigate the characteristics of the top ranked programs within the specialty and the surgeons practicing within each. Methods The top 50 hospitals for adult cardiology and heart surgery wer...
Article
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The article contains several sections that should give an understanding of the current situation and the problems faced by Russian specialized journals in the conditions of sanctions affecting the scientific sphere.
Article
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Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal...
Article
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O IAM é definido como a morte celular miocárdica, causando necrose do músculo cardíaco de forma aguda, o diagnostico pode ser dados de várias formas. É recomendado realizar a reperfusão coronária de emergência nas primeiras horas seguidas de ter o diagnóstico de IAMCSST, pois tem impacto significante na sobrevida do paciente. Com isso, o objetivo g...
Article
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Background Healthcare professionals (HPs) can play a substantial role in smoking cessation counseling (SCC) but in practice often skip this task due to time constraints. This study evaluates the implementation of the rapid Ask-Advise-Connect (AAC) method in a University hospital setting. Methods This mixed methods pre-post interventional study was...
Article
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The COVID-19 pandemic offers a unique context and opportunity to investigate changes in healthcare professional perceptions towards the adoption of novel medical technologies, such as point-of-care technologies (POCTs). POCTs are a nascent technology that has experienced rapid growth as a result of COVID-19 due to their ability to increase healthca...
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McConnell's sign is a well-established, specific echocardiographic sign for acute pulmonary embolism. Multiple theories have been proposed regarding the mechanism of McConnell's sign in the context of acute pulmonary embolism. Here, we present 2 patient cases in which McConnell's sign was seen with right ventricular ischemia without pulmonary embol...
Article
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Background: Compared with the Seventh Report of the Joint National Committee (JNC7), the 2017 American College of Cardiology/American Heart Association (ACC/AHA) blood pressure (BP) guideline uses lower BP thresholds to define hypertension and BP control. Methods: We pooled data from five US-based studies to compare the association of masked hyp...
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Global Clinical Trials Market 2022-2031 by Product Category (Drugs, Devices, Procedures), Phase (I, II, III, IV), Design (Interventional, Observational, Expanded Access), Service Type (Site Identification, Lab Services, Supply & Logistic, Decentralized Services), Indication (Oncology, Infectious Diseases, Cardiology, Obesity, Diabetes, Neurology),...
Article
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The ESC/EACTS guidelines for the management of valvular heart disease, as published by the European Society of Cardiology and European Association for Cardio-Thoracic Surgery, underwent renewal in 2021. The current guidelines focus on early surgical treatment in patients with asymptomatic valvular heart disease, in particular aortic stenosis, aorti...
Article
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Artificial intelligence (AI) is an integral part of clinical decision support systems (CDSS), offering methods to approximate human reasoning and computationally infer decisions. Such methods are generally based on medical knowledge, either directly encoded with rules or automatically extracted from medical data using machine learning (ML). ML tech...
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Radiotherapy (RT) is an essential part of breast cancer (BC) treatments. Unfortunately, heart exposure to radiation can also impair the long-term survival of patients. Our study aimed to quantify the oncological benefit and the cardiovascular (CV) risk associated with modern RT in a real-world cohort of BC patients. Our descriptive study enrolled B...
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La hipertensión arterial (HTA) es una de las enfermedades más prevalentes a nivel mundial y del país. Tiene una gran incidencia en el desarrollo de enfermedad cardíaca hipertensiva (ECH), esto influyen principalmente en los hábitos del paciente. Por ello es importante conocer ¿Qué hábitos en pacientes diagnosticados con HTA se relacionan con la apa...