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Echocardiography of the right heart in pulmonary arterial hypertension: insights from the ULTRA RIGHT VALUE study.
Eur Heart J Imaging Methods Pract
January 2025
Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome 00161, Italy.
Aims: Outcome in pulmonary arterial hypertension (PAH) is determined by right ventricular (RV) function adaptation to increased afterload. Echocardiography is easily available to assist bedside evaluation of the RV. However, no agreement exists about the feasibility and most relevant measurements.
View Article and Find Full Text PDFThe Conservative Management of the Carpometacarpal Joint Fracture-Dislocation: A Case of the Second to the Fifth Ray.
Cureus
December 2024
Orthopedic Department, Laiko General Hospital of Athens, Athens, GRC.
Carpometacarpal (CMC) joint fractures-dislocations are rare due to the complex structure of the carpal bones and strong ligamentous support; while the clinical image is usually "noisy," they present significant management challenges due to the unstable nature of the injury. These injuries are typically caused by high-energy trauma and frequently result in dorsal dislocations. Treatment requires a careful balance between the immobilization and surgical restoration of the anatomical alignment to prevent complications.
View Article and Find Full Text PDFInfluence of Persistently Elevated LDL Values on Carotid Intima Media Thickness in Elite Athletes.
High Blood Press Cardiovasc Prev
January 2025
Institute of Sport Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197, Rome, Italy.
Introduction: Carotid IMT is a recognized marker for early atherosclerotic changes and a predictor of future CV events. Previous studies showed 11% increased risk of myocardial infarction with each 0.1 mm incremental increase of carotid IMT.
View Article and Find Full Text PDFThoracic Segmental Anesthesia for Major Laparoscopic Abdominal Surgery in a Heart Transplant Recipient: A Case Report.
Cureus
November 2024
Anesthesia and Intensive Care, Melegnano Hospital - ASST Melegnano e Martesana, Milan, ITA.
We describe the case of a 72-year-old male suffering from Marfan syndrome, who, because of cardiac abnormalities correlated to the syndrome, received an orthotopic heart transplant four years ago. In 2024, he was diagnosed with right colon cancer. The decision to operate was difficult because of the elevated perioperative risk.
View Article and Find Full Text PDFAnesthesiological Preoperative Interview with a Palliative Care Patient: A Simulation-Based Experiment Using Standardized Patients.
Medicina (Kaunas)
September 2024
Department of Anesthesiology and Intensive Care, Herzogin Elisabeth Hospital, 38124 Braunschweig, Germany.
: Anesthesiologists come into contact with patients under palliative care in different clinical settings. They also routinely encounter these patients in their primary field of work, the operating room. Patients receiving palliative care who are scheduled for surgery will pose unique challenges in perioperative management, often presenting with advanced disease and with different psychosocial and ethical issues.
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