Publications by authors named "E Vermes"
The proliferation of transcatheter aortic valve implantation has alerted clinicians to a specific type of prosthetic degeneration represented by thrombosis. The pathogenesis of this clinical or subclinical phenomenon, which can occur in up to 15% of both surgical and percutaneous procedures, is poorly understood, as is its potential impact on patient prognosis and long-term bioprosthesis durability. Based on this lack of knowledge about the real meaning and importance of bioprosthetic valve thrombosis, the aim of the present review is to draw the clinicians' attention to its existence, starting from the description of predisposing factors that may require a closer follow-up in such categories of patients, to an in-depth overview of all available imaging modalities with their respective pros and cons.
View Article and Find Full Text PDFBackground: Empirical studies have demonstrated associations between ten original adverse childhood experiences (ACEs) and multiple health outcomes. Identifying expanded ACEs can capture the burden of other childhood adversities that may have important health implications.
Objective: We sought to identify childhood adversities that warrant consideration as expanded ACEs.
Background: Agency - including the sub-domains of intrinsic agency, instrumental agency, and collective agency - is a critical component of the women's empowerment process. Self-efficacy (a component of intrinsic agency) may operate as a motivational influence for women to make choices according to their own preferences or goals, such that higher self-efficacy would be associated with more autonomous decision-making (a key component of instrumental agency).
Methods: We examine these relationships using mixed methods.
Article Synopsis
- * Cardiac magnetic resonance imaging (CMR) is being explored as an additional tool for cases where echocardiography results are unclear, allowing for detailed measurements of the valve and effective orifice area despite some potential limitations.
- * CMR offers key advantages, like accurately measuring aortic regurgitation and assessing heart muscle changes, which can reveal improvements after procedures like surgical or transcatheter valve replacement for aortic stenosis.
Article Synopsis
- In cardiogenic shock, short-term mechanical assist devices like Extra Corporeal Membrane Oxygenators help stabilize patients before considering long-term solutions.
- For long-term support in cases of persistent biventricular dysfunction, options are limited to devices like the Syncardia Total Artificial Heart and the Berlin Heart EXCOR, which is not approved for adults in the U.S.
- While strategies such as using two Left Ventricular Assist Devices are common, they remain off-label, and overall survival rates are around 70%, indicating significant complications and reduced quality of life for patients.