Publications by authors named "S Matetzky"
Background: Reports of nonrheumatic streptococcal pharyngitis associated myocarditis (SPAM) are rare, and its incidence, pathophysiology, and clinical features remain unclear. We evaluated the clinical course and outcome of patients diagnosed with nonrheumatic SPAM, with a particular focus on differentiating it from other etiologies of myocarditis.
Methods: Seventy-nine consecutive individuals (age 32±9 years, 71 men) with clinically diagnosed SPAM were evaluated.
Transcatheter aortic valve replacement (TAVR) is indicated for severe aortic stenosis patients with a prohibitive surgical risk. However, its use has been expanding in recent years to include intermediate- and low-risk patients. Thus, registry data describing changes in patient characteristics and outcomes are needed.
View Article and Find Full Text PDFBackground: Heart failure with improved ejection fraction (HFimpEF) is a recently recognized entity presenting a diagnostic and therapeutic challenge. Our aim was to characterize the profile of HFimpEF patients and evaluate predictors for EF lack of improvement among heart failure with reduced ejection fraction (HFrEF) patients.
Methods: We included ambulatory HFrEF patients (EF≤40%) between January 1, 2015, and September 1, 2022, with two consecutive echocardiography exams at least 6 months apart.
Article Synopsis
- - The study compared outcomes for patients undergoing transcatheter aortic valve replacement (TAVR) who were admitted directly to a cardiology department versus those sent to a cardiac intensive care unit (CICU), focusing on the 2017-2018 cohort vs a previous CICU cohort.
- - It found that patients admitted to the cardiology department had shorter hospital stays (median 2 days) without increased risk of complications or rehospitalizations, as in-hospital mortality rates were zero for both groups.
- - The conclusion suggests that for stable patients after an uncomplicated TAVR procedure, direct admission to the cardiology department is a safer and more cost-effective option than CICU admission.
Article Synopsis
- The study investigates factors that predict left ventricular (LV) thrombus formation in patients who have suffered from ST-segment elevation myocardial infarction (STEMI), using cardiac magnetic resonance imaging (CMRI) for diagnosis.
- A total of 337 STEMI patients were analyzed, leading to the creation of the ThrombScore, a six-point risk assessment model that incorporates specific clinical predictors like elevated C-reactive protein and ST-segment resolution.
- The ThrombScore effectively categorizes patients into three risk groups, significantly improving the identification of those at higher risk for developing LV thrombus, with a reported odds ratio indicating a strong correlation with increased score values.