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Computed tomography coronary angiography as an alternative to invasive coronary angiography in preoperative evaluation for mitral surgery.
J Thorac Cardiovasc Surg
January 2025
Mount Sinai Health System, New York, NY.
Objective: The aim of this study was to assess the effectiveness of non-invasive coronary computed tomography angiography (CTA) as an alternative to traditional invasive coronary angiography (ICA) for preoperative evaluation of low risk patients with an indication for non-emergent mitral surgery and to assess any difference in adverse outcomes from this strategy.
Methods: This was a retrospective cohort study from a single center with data collected from July 2014 - June 2020 for 1576 patients undergoing mitral valve surgery of all etiologies - excluding patients requiring coronary artery bypass surgery. We performed a 1:2 propensity score matching for patients evaluated with CT (n=345) to those evaluated with ICA (n=602).
Successful treatment with bortezomib for refractory cryoglobulinemic vasculitis triggered by ischemic non-obstructive coronary artery disease.
CEN Case Rep
January 2025
Department of Nephrology and Dialysis, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-Cho, Itabashi, Tokyo, 173-0015, Japan.
Article Synopsis
- Type I and mixed cryoglobulinemic vasculitis have different causes, symptoms, and treatment responses, with a reported case of refractory vasculitis linked to ischemic non-obstructive coronary artery disease.
- The patient exhibited severe symptoms including dyspnea, abdominal pain, purpura, and renal failure requiring dialysis, with diagnostic markers suggesting mixed cryoglobulinemia.
- Despite various treatments failing initially, bortezomib and dexamethasone successfully led to clinical improvement and cryoglobulin negativity, indicating bortezomib's potential as an effective therapy for this challenging condition.
[The Usefulness of MAG3 Diuretic Renography in the Evaluation of Stomal Obstruction after Cutaneous Ureterostomy].
Hinyokika Kiyo
September 2024
The Department of Urology, Shiga University of Medical Science.
Cutaneous ureterostomy (CU) is the most simple and safe method of all permanent urinary diversions, but is associated with a risk for stomal obstruction. It is important to appropriately manage hydronephrosis associated with CU. We evaluated the occurrence of stomal obstruction after CU by 99m Tcmercaptoacetyltriglycine (MAG3) diuretic renography three months after surgery.
View Article and Find Full Text PDFContemporary characteristics, outcomes and novel risk score for Takotsubo cardiomyopathy: a national inpatient sample analysis.
Open Heart
October 2024
Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Article Synopsis
- Takotsubo cardiomyopathy (TC) is a serious heart condition often mistaken for a heart attack, occurring in about 1% of patients with acute coronary syndrome (ACS), primarily affecting older women.
- A study analyzed data from over 7 million ACS admissions from 2016 to 2020, highlighting factors linked to TC diagnosis and outcomes, particularly female sex and chronic heart failure.
- Researchers developed a new risk score that includes various health indicators to help predict in-hospital mortality for TC patients, but further validation is needed to ensure its effectiveness.
Assessment of ureteric jets as a supportive diagnostic modality for unilateral pelvi-ureteric junction obstruction and its utility in follow-up: A pilot study.
J Pediatr Urol
December 2024
Department of Paediatric Surgery, All India Institute of Medical Sciences (AIIMS), 7th floor, Paediatric Surgery Office, Mother and Child Block, New Delhi, 110029, India. Electronic address:
Article Synopsis
- Pelvi-Ureteric Junction Obstruction (PUJO) is a leading cause of hydronephrosis in children, and while ultrasonography is useful, it can't determine if an obstruction is present; thus, Ureteric jets through color Doppler ultrasound are being studied for this purpose.
- The study aimed to evaluate Ureteric Jet Frequency (UJF) and Relative Jet Frequency (RJF) in children with unilateral PUJO before and after administering furosemide, assessing their effectiveness for diagnosis and post-operative monitoring.
- Results showed that UJF was significantly lower on the obstructed side, but the difference was not significant when compared to controls; after surgery, both UJF and RJF increased, indicating their potential utility in
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