Publications by authors named "Scott C Feitell"
Article Synopsis
- A new implantable sensor has been created to measure the area of the inferior vena cava (IVC) to help monitor heart failure (HF) patients daily and predict fluid congestion.
- The study included 15 HF patients and assessed the sensor's safety, effectiveness, and data transmission, finding high accuracy in IVC measurements and excellent patient adherence to using the device.
- Results showed that the sensor was safe and effective, with improvements noted in patients' heart failure classification, indicating a need for further research into remote management of heart failure using this technology.
Article Synopsis
- Takotsubo syndrome (TTS), a condition often triggered by stress, can lead to serious complications including cardiogenic shock (CS) and mixed shock (MS), but the differences in outcomes between these two scenarios were previously unclear.
- A study analyzing data from over 23,000 TTS patients revealed that those with MS had a higher likelihood of in-hospital mortality, acute kidney injury (AKI), and a need for pressor medications compared to CS patients.
- Despite higher mortality and complications, MS patients were less likely to receive mechanical circulatory support and experience cardiac arrest, while also incurring greater hospital costs and longer stays.
The management of concomitant mitral valve (MV) disease in patients with hypertrophic cardiomyopathy (HCM) remains controversial. The 2020 American Heart Association/American College of Cardiology HCM guidelines recommend that MV replacement (MVR) at the time of myectomy should not be performed for the sole purpose of relieving outflow obstruction. At the national level, limited data exist on the surgical outcomes of MV repair/replacement in patients with HCM who underwent septal myectomy (SM).
View Article and Find Full Text PDFCardiac arrest (CA) is associated with high mortality rate, ranging between 75% and 93%. Given its significance, venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been used for end-organs perfusion and to maintain adequate oxygenation as a life-saving option in refractory CA. The predictors for the success of VA-ECMO in this setting have not been established yet.
View Article and Find Full Text PDFDespite significant advances in drug-based and device-based therapies, heart failure remains a major and growing public health problem associated with substantial disability, frequent hospitalizations, and high economic costs. Keeping patients well and out of the hospital has become a major focus of heart failure disease management. Achieving and maintaining such stability in heart failure patients requires a holistic approach, which includes at least the management of the underlying heart disease, the management of comorbidities and the social and psychological aspects of the disease, and the management of haemodynamic/fluid status.
View Article and Find Full Text PDFArticle Synopsis
- Recurrent gastrointestinal bleeding (GIB) is a frequent issue for patients who have undergone left ventricular assist device (LVAD) implantation, prompting the need for effective prevention strategies.
- This study conducted a network meta-analysis of 13 observational studies to compare the effectiveness of six different pharmacologic interventions aimed at preventing GIB.
- The findings indicated that thalidomide, omega-3 fatty acids, octreotide, and danazol significantly reduced the risk of recurrent GIB, while ACE inhibitors/ARBs and digoxin showed no notable benefits.
Background: This meta-analysis aims to evaluate the utility of speckle tracking echocardiography (STE) as a tool to evaluate for cardiac sarcoidosis (CS) early in its course. Electrocardiography and echocardiography have limited sensitivity in this role, while advanced imaging modalities such as cardiac magnetic resonance (CMR) and 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) are limited by cost and availability.
Methods: We compiled English language articles that reported left ventricular global longitudinal strain (LVGLS) or global circumferential strain (GCS) in patients with confirmed extra-cardiac sarcoidosis versus healthy controls.