Short term outcomes and resource utilization in versus acute on chronic heart failure related cardiogenic shock: a nationwide analysis.

Background: There has been growing recognition of non-ischemic etiologies of cardiogenic shock (CS). To further understand this population, we aimed to investigate differences in clinical course between acute on chronic heart failure related (CHF-CS) and de-novo CS (DN-CS).

Methods: Using the Nationwide Readmission Database, we examined 92,426 CS cases.

A Shocking Discovery: Electrostatic Discharge-Induced Pump Failure in an Implantable Left Ventricular Assist Device.

Despite advancements in left ventricular assist device (LVAD) technology, numerous complications continue to be associated with these devices. The interactions between LVADs and other electronic devices and the effects of electrostatic discharge (ESD) are not well established. This study reports a rare case of ESD causing pump malfunction in an implantable LVAD.

Complex Congenital Heart Disease: Gerbode Defect With a Bicuspid Aortic Valve and Coarctation of the Aorta.

• Congenital Gerbode defect remains a rare phenomenon. • CoA can worsen shunting due to left ventricular obstruction. • Assess for coexisting congenital defects that may alter management.

Staffing models in the cardiac intensive care unit.

Purpose Of Review: The modern cardiac intensive care unit (CICU) has evolved into a high-intensity unit that cares for critically ill patients. Despite this transformation, changes to the staffing model and organizational structure in these specialized units have only recently begun to meet these challenges. We describe the most recent evidence which will inform future CICU staffing models.

Assisted Reproductive Technology Outcomes in Women With Heart Disease.

Background: Women with infertility and heart disease (HD) are increasingly seeking assisted reproductive technology (ART). There is only one other study that examines the safety profile of ART in this population. This study aims to evaluate the cardiac, reproductive, and obstetric outcomes of ART in women with HD.

Myocarditis in Relation to Angiographic Findings in Patients With Provisional Diagnoses of MINOCA.

Objectives: The aim of this study was to determine the prevalence of myocarditis among patients presenting with myocardial infarction with nonobstructive coronary arteries (MINOCA) in relation to the angiographic severity of nonobstructive coronary artery disease (CAD).

Background: MINOCA represents about 6% of all cases of acute myocardial infarction. Myocarditis is a diagnosis that may be identified by cardiac magnetic resonance (CMR) imaging in patients with a provisional diagnosis of MINOCA.

Early Termination of Cardiac Rehabilitation Is More Common With Heart Failure With Reduced Ejection Fraction Than With Ischemic Heart Disease.

Purpose: Despite known benefits of cardiac rehabilitation (CR), early termination (failure to complete >1 mo of CR) attenuates these benefits. We analyzed whether early termination varied by referral indication in the context of recent growth in patients referred for heart failure with reduced ejection fraction (HFrEF).

Methods: We reviewed records from 1111 consecutive patients enrolled in the NYU Langone Health Rusk CR program (2013-2017).

Advanced Imaging Techniques for Mitral Regurgitation.

Mitral regurgitation (MR) is one of the most commonly encountered valvular lesions in clinical practice. MR can be either primary (degenerative) or secondary (functional) depending on the etiology of MR and the pathology of the mitral valve (MV). Echocardiography is the primary diagnostic tool for MR and is key in determining this etiology as well as MR severity.

Ultrasound imaging artifacts: How to recognize them and how to avoid them.

Echocardiography has become a critical tool in clinical cardiology in evaluating cardiac physiology and diagnosing cardiac disease states. However, imaging artifacts are commonly encountered and often lead to misdiagnoses of life-threatening diseases, such as aortic dissection and ventricular thrombus. It is, thus, critical for clinicians to understand these artifacts to avoid these misdiagnoses and protect patients from undue intervention.

Impact of Diabetes on Perioperative Complications in Patients Undergoing Elective Total Shoulder Arthroplasty.

Introduction: Diabetes has been associated with negative outcomes following orthopaedic surgery. While previous studies have reported on diabetes-associated complications in shoulder arthroplasty, those cohorts were heterogeneous in terms of patient population, nature of elective surgery, and arthroplasty type. Given that the number of elective total shoulder arthroplasties (TSAs) performed has grown substantially in volume and is predicted to rise even further, it is important to recognize the role that diabetes may play in developing in-hospital complications within a more homogenous sample of patients undergoing elective TSA.