Publications by authors named "H W Thijs Plokker"

Chronic pulmonary thromboembolic disease is an important cause of severe pulmonary hypertension, and as such is associated with significant morbidity and mortality. The prognosis of this condition reflects the degree of associated right ventricular dysfunction, with predictable mortality related to the severity of the underlying pulmonary hypertension. Left untreated, the prognosis is poor.

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Objective: This study tested the hypothesis that there is a discrepancy between global hemodynamic parameters and microvascular flow in patients before and after successful elective electrical cardioversion (ECV) for atrial fibrillation (AF).

Design: Prospective observational study.

Setting: Preanesthesia holding area in a teaching hospital.

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Article Synopsis
  • The study aimed to assess the safety and feasibility of combining carotid artery stenting (CAS) with coronary artery bypass graft (CABG) surgery in patients who show neurological symptoms.
  • Patients with a history of transient ischemic attack or stroke have a much higher (4 times) risk of stroke during CABG surgery, suggesting a need for preventive measures like carotid endarterectomy.
  • The study found a high success rate for CAS (98%) and relatively low rates of complications within 30 days post-surgery, indicating that this combined approach could be a viable option for symptomatically affected patients, although further research with larger trials is needed.
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