Publications by authors named "Zaid Al Jebaje"
Use of mechanical circulatory support in high-risk percutaneous coronary interventions.
Prog Cardiovasc Dis
October 2024
As the field of percutaneous coronary intervention grows in volume, expertise, and available tools, interventional cardiologists are increasingly performing more complex and higher-risk coronary artery procedures. Mechanical circulatory support devices, previously used only in urgent situations, are now being utilized as supplementary tools to enhance outcomes in elective complex cases. This shift has sparked significant discussions about patient and device selection, as well as the potential risks involved.
View Article and Find Full Text PDFBackground: Out-of-hospital cardiac arrest (OHCA) is associated with high mortality and cerebral disability in survivors. Current models of risk prediction and survival are mainly based on resuscitation duration. We examined the prognostic value of circulating biomarkers in predicting mortality and severe cerebral disability for OHCA survivors, alongside traditional clinical risk indicators.
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- TAVR (transcatheter aortic valve replacement) offers treatment for severely ill patients, but outcomes for those with cardiogenic shock (CS) are not well understood.
- A meta-analysis of five studies showed that 30-day mortality and major vascular complications were significantly higher in patients with CS compared to those without, but there were no significant differences in longer-term outcomes at one year.
- The study suggests that while short-term risks are elevated for TAVR patients with CS, their long-term prognosis may be similar to those without CS; further research is needed to explore the timing and management strategies of TAVR for this group.
Background: Intravascular lithotripsy (IVL) safely and effectively modifies calcified coronary lesions during percutaneous coronary interventions (PCI). Data regarding its utility in modifying calcified left main coronary artery (LMCA) disease are limited. This study aimed to evaluate short-term outcomes of IVL-assisted LMCA PCI.
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- A meta-analysis was conducted comparing liberal and restrictive blood transfusion strategies in anemic patients with acute myocardial infarction (MI), focusing on outcomes like recurrent MI and mortality.
- The analysis included over 4,300 patients from four randomized controlled trials but found no significant advantages of liberal transfusion in reducing MI or death rates.
- The findings support existing guidelines that recommend maintaining hemoglobin levels of 7-8 g/dL for transfusions in MI patients, indicating that more liberal transfusions do not lead to better clinical results.
A 26-year-old man with a medical history of gout and morbid obesity presented with a 7-day history of decreased sensation to light touch and temperature from the feet to the level of the nipples. He also noted incomplete voiding. Laboratory investigations showed an elevated serum uric acid level (10.
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