Publications by authors named "Sarah Visintini"

Article Synopsis
  • This study systematically reviewed the impact of postoperative computed tomography imaging factors on outcomes following acute type A aortic dissection repair, focusing on measurements like aortic diameter and growth rates.
  • A total of 68 studies involving 7,885 patients were analyzed, revealing that extended repairs led to better false lumen thrombosis and reduced reintervention rates, but did not significantly improve survival rates.
  • Key prognostic indicators identified for improved outcomes include complete false lumen thrombosis and stabilization of aortic diameter, with aortic growth rates particularly significant in the descending thoracic region; future research should further explore these factors for better patient management.
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Article Synopsis
  • The study aimed to compare the effects of combined aerobic and muscle strength training versus aerobic training alone on cardiovascular disease risks in patients with coronary artery disease (CAD).
  • A systematic review of trials found that combined training significantly improved cardiorespiratory fitness (CRF) and body composition compared to aerobic training alone, while no differences were seen in cardiometabolic biomarkers.
  • The conclusion suggests that incorporating muscle strength training into aerobic routines can enhance CRF in CAD patients without decreasing the amount of aerobic exercise performed.*
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Introduction: Women with previous pregnancy-related cardiovascular risk indicators, including gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP), have an increased risk of future cardiovascular disease (CVD). Although CVD screening and preventive care beginning in the early postpartum period are recommended, certain barriers limit access to such services. We plan to conduct a scoping review of the literature to explore and summarise evidence on the barriers and facilitators of postpartum CVD preventive services in women with a history of GDM and HDP.

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Aim: Caregiving processes and outcomes have been increasingly articulated in the cardiovascular literature, particularly in heart failure and coronary artery disease, but there has been no synthesis on caregiving for a patient with atrial fibrillation (AF). This review synthesized scientific evidence that describes caregiving in the context of AF, with the aim of informing future research priorities for AF caregiving or clinical approaches that may support these caregivers.

Methods And Results: Informed by PRISMA guidelines, we conducted a mixed methods systematic review with a data-based convergence design using a thematic synthesis approach.

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A plethora of biomaterials for heart repair are being tested worldwide for potential clinical application. These therapeutics aim to enhance the quality of life of patients with heart disease using various methods to improve cardiac function. Despite the myriad of therapeutics tested, only a minority of these studied biomaterials have entered clinical trials.

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Women with previous hypertensive disorders of pregnancy (HDP) or gestational diabetes mellitus (GDM) have a 2- to 3-fold increased risk of cardiovascular disease (CVD). The goal of this rapid review was to summarize evidence of the effectiveness of CVD risk factor interventions for postpartum women with a history of HDP or GDM. A comprehensive search strategy was used to search articles published in 5 databases-Ovid MEDLINE, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Embase).

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Background: Inspiratory muscle training (IMT) has been recognized as an effective form of training in patients with cardiovascular disease and heart failure. However, little is known about the efficacy of IMT in the treatment of patients with coronary artery disease (CAD). The aim of this systematic review will be to evaluate randomized controlled studies to understand the effect of IMT on CAD patients.

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Objectives: Inotropic support is commonly used in patients with cardiogenic shock (CS). High-quality data guiding the use of dobutamine or milrinone among this patient population is limited. We compared the efficacy and safety of these two inotropes among patients with low cardiac output states (LCOS) or CS.

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We sought to assess the prognostic value of coronary computed tomographic angiography (CCTA) in patients with coronary artery bypass graft (CABG) by meta-analysis. MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Scopus were searched for relevant original articles published up to July 2021. CCTA prognostic studies enrolling patients with CABG were screened and included if outcomes included all-cause mortality or major adverse cardiac events.

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Background: Frailty has emerged as an important prognostic marker of increased mortality after cardiac surgery, but its association with quality of life (QoL) and patient-centered outcomes is not fully understood. We sought to evaluate the association between frailty and such outcomes in older patients undergoing cardiac surgery.

Methods: This systematic review included studies evaluating the effect of preoperative frailty on QoL outcomes after cardiac surgery amongst patients 65 years and older.

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Background: With the increased adoption of technology, the use of digital health interventions in health care settings has increased. Patient-clinician digital health interventions have the potential to improve patient care, especially during important transitions between hospital and home. Digital health interventions can provide support to patients during these transitions, thereby leading to better patient outcomes.

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Introduction: Placenta previa is a placental implantation pathology where the placenta overlies the internal endocervical os. Placenta previa affects approximately 4 per 1000 pregnancies and increases the risk of antepartum bleeding, emergent preterm labour and emergency caesarean sections. Currently, placenta previa is managed through expectant management.

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Article Synopsis
  • - Aortic valve stenosis (AS) is a progressive heart condition whose progression rates and the factors influencing them are not well understood; a systematic review aimed to explore these aspects.
  • - The analysis included 24 studies with over 5,400 patients, revealing that increased baseline severity of AS correlates with higher progression rates for certain hemodynamic measures, while sex differences in progression were not significantly observed.
  • - Key findings indicated annualized progression rates, such as +4.10 mm Hg in mean gradient and -0.08 cm in aortic valve area, suggesting that severity at diagnosis is a predictor of faster disease advancement.
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Introduction: The leading cause of death for women is cardiovascular disease (CVD), including ischaemic heart disease, stroke and heart failure. Previous literature suggests peer support interventions improve self-reported recovery, hope and empowerment in other patient populations, but the evidence for peer support interventions in women with CVD is unknown. The aim of this study is to describe peer support interventions for women with CVD using an evidence map.

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Background: Guidelines recommend that hospitalized patients newly diagnosed with HF be referred to an outpatient HF clinic (HFC) within 2 weeks of discharge. Our study aims were (i) to assess the current literary landscape on the impact of patient sex on HFC referral and outcomes and (ii) to provide a qualitative overview of possible considerations for the impact of sex on referral patterns and HF characteristics including aetiology, symptom severity, investigations undertaken and pharmacologic therapy.

Methods And Results: We conducted a scoping review using the Arksey and O'Malley framework and searched Medline, EMBASE, PsychINFO, Cochrane Library, Ageline databases and grey literature.

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Introduction: Inflammation is emerging as an important risk factor for atherosclerotic cardiovascular disease and has been a recent target for many novel therapeutic agents. However, comparative evidence regarding efficacy of these anti-inflammatory treatment options is currently lacking.

Methods And Analysis: This systematic review will include randomised controlled trials evaluating the effect of anti-inflammatory agents on cardiovascular outcomes in patients with known cardiovascular disease.

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Article Synopsis
  • Patients who experience return of spontaneous circulation (ROSC) after an out-of-hospital cardiac arrest (OHCA) may require sedation for care, prompting a study on the use of volatile anesthetics versus conventional sedatives.
  • In a systematic review of 1,973 citations, three studies with 604 patients were included, showing uncertain effects of volatile agents on delirium, survival to discharge, and ICU length of stay, with some indications of shorter mechanical ventilation duration.
  • The conclusion suggested that while volatile anesthetics might lead to shorter ventilation times, the evidence is low quality, indicating a need for more research in this area.
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Background: : The rhythm-monitoring strategy after catheter ablation (CA) for atrial fibrillation (AF) impacts the detection of atrial arrhythmia recurrence and is not well characterized. We performed a systematic review and meta-regression analysis to determine whether the duration and mode of rhythm monitoring after CA affects detection of atrial arrhythmia recurrence.

Methods: Databases were systematically searched for randomized controlled trials of adult patients undergoing first CA for AF from 2007 to 2021.

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Background: Frailty has emerged as an important prognostic marker of adverse outcomes after cardiac surgery, but evidence regarding its ability to predict quality of life after cardiac surgery is currently lacking. Whether frail patients derive the same quality of life benefit after cardiac surgery as patients without frailty remains unclear.

Methods: This systematic review will include interventional studies (RCT and others) and observational studies evaluating the effect of preoperative frailty on quality-of-life outcomes after cardiac surgery amongst patients 65 years and older.

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Women with a history of hyperBtensive disorders of pregnancy (HDP) are at particularly high risk for cardiovascular disease (CVD) and CVD-related death, and certain racial and ethnic subpopulations are disproportionately affected by these conditions. We examined the use of race, ethnicity, and national origin in observational studies assessing CVD morbidity and mortality in women with a history of HDP. A total of 124 studies, published between 1976 and 2021, were reviewed.

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Aims: The PRECISE-DAPT (Predicting Bleeding Complication in Patients Undergoing Stent Implantation and Subsequent Dual Antiplatelet Therapy) score identifies patients at high risk of bleeding complications following percutaneous coronary intervention (PCI). International guidelines recommend the PRECISE-DAPT score to identify patients at high risk for bleeding, who may benefit from shortened dual antiplatelet therapy. The association of the PRECISE-DAPT score with ischaemic outcomes remains unclear.

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Article Synopsis
  • The COVID-19 pandemic prompted a significant influx of research, but concerns arose about the quality of these studies.
  • A systematic review analyzed 686 COVID-19 articles and found they had a much shorter time to acceptance compared to historical studies (13 days vs. 110 days).
  • The review revealed that COVID-19 studies generally had lower methodological quality scores across all types, suggesting the need for re-evaluation as more robust evidence becomes available.
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Background: The stented coronary artery remains at high-risk of complications, particularly in the form of stent thrombosis and in-stent restenosis. Improving our ability to identify patients at high-risk for these complications may provide opportunities for intervention. PAI-1 has been implicated in the pathophysiology of stent complications in preclinical studies, suggesting it may be a clinically valuable biomarker to predict adverse events following percutaneous coronary intervention.

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