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The Clinical Trajectory of NYHA Functional Class I Patients With Obstructive Hypertrophic Cardiomyopathy.
JACC Heart Fail
October 2024
Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:
Background: An improved understanding of the natural history in NYHA functional class I patients with obstructive hypertrophic cardiomyopathy (oHCM) is needed.
Objectives: Using a multicenter registry (SHaRe [Sarcomeric Human Cardiomyopathy Registry]), this study described the natural history in patients with oHCM who were classified as NYHA functional class I at the initial visit compared with patients classified as NYHA functional class II and reported baseline characteristics associated with incident clinical events.
Methods: Incident events assessed included a composite of NYHA functional class III to IV symptoms, left ventricular ejection fraction <50%, atrial fibrillation, stroke, ventricular arrhythmias, septal reduction therapy, ventricular assist device or transplantation, or death.
Enhancing cardiac postoperative care: a smartwatch-integrated remote telemonitoring platform for health screening with ECG analysis.
Front Cardiovasc Med
September 2024
Department of Cardiovascular Surgery-InovaInCor, Instituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Article Synopsis
- * In a trial involving 108 patients, the group utilizing smartwatches showed strong correlations in monitoring heart rate and blood pressure compared to traditional methods, while also identifying challenges in measuring oxygen saturation.
- * The findings suggest that smartwatch monitoring is reliable and effective for early detection of complications, which can lead to timely medical interventions, thereby reducing risks post-surgery.
Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit.
J Vis Exp
September 2024
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School.
Electrical Impedance Tomography (EIT) is a groundbreaking, non-invasive, and radiation-free imaging technique for continuous, real-time ventilation monitoring. It also has an application in pulmonary perfusion monitoring. EIT quantifies ventilation and perfusion patterns across the lung from the measurement and processing of impedance changes in the thorax.
View Article and Find Full Text PDFInfection epidemiology, preventive measures and principles of best practices involving the skin and dressing of patients with a ventricular assist device: A scoping review.
Intensive Crit Care Nurs
February 2025
Department of Medical-Surgical Nursing of Nursing School of Universidade de Sao Paulo, Sao Paulo, SP - BR, Brazil.
Background: Specific knowledge of several domains for managing care in the driveline externalization area may be necessary for the broader application of left ventricular assist devices.
Objectives: This study aimed to map the recommendations for adult patients undergoing left ventricular assist device implantation.
Design: This scoping review, is being registered in the Open Science Framework under DOI https://doi.
When innovation meets patient blood management - a new way to see bleeding.
Hematol Transfus Cell Ther
September 2024
InovaInCor Innovation Department, Heart Institute, School of Medicine, University of Sao Paulo (USP), Sao Paulo, SP, Brazil; Department of Cardiovascular Surgery, Heart Institute, School of Medicine, University of Sao Paulo (USP), Sao Paulo, SP, Brazil.
The first step in innovation is to identify a problem of real relevance and systematically address it to deliver a sophisticated and viable solution. Disruptive innovation is a process where technology, products, or services are transformed or replaced by a better innovative solution. This superiority must be perceived by users as being more accessible, simple, or convenient.
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