Publications by authors named "A Carnicelli"
Acute decompensated valvular disease encompasses a group of complex and challenging conditions, which are often the primary reason for admission to the cardiac intensive care unit and can also complicate the management of other primary cardiac disorders. Critically ill patients with valvular disease also present unique diagnostic and management challenges. Historically, medical and percutaneous interventional therapies have been limited and surgery was the only definitive treatment; however, surgical risk can at times be prohibitive.
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- - The study investigated the outcomes of patients with acute myocardial infarction (AMI) who required invasive mechanical ventilation, comparing those in medical ICUs (MICU) versus cardiac ICUs (CICU) from October 2015 to December 2019.
- - Among the 12,639 patients studied, those in the CICU had a higher prevalence of serious conditions, but overall ventilator days were similar between both ICUs and in-hospital mortality rates were not significantly different until statistical adjustments were made.
- - The results indicated that admission to the CICU was linked to lower in-hospital mortality rates for AMI patients, suggesting that better triage to specialized cardiac care could improve outcomes.
Patients with HeartMate 3 left ventricular assist devices may develop aortic root thrombus, yet its prevalence and associated risks are unknown. We present 2 patients who developed aortic root thromboembolism and acute coronary occlusions. We additionally present heart transplantation as viable treatment for thromboembolic disease and refractory right ventricular failure.
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