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Management and Outcomes of Type I and Type II Myocardial Infarction in Cardiogenic Shock.
CJC Open
February 2024
CAPITAL Research Group, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Background: Type I myocardial infarction (T1MI) or type II myocardial infarction (T2MI) have different underlying mechanisms; however, in the setting of cardiogenic shock (CS), it is not understood if patients experience resultantly different outcomes. The objective of this study was to determine clinical features, biomarker patterns, and outcomes in these subgroups.
Methods: Patients from the CAPITAL-DOREMI trial presenting with acute myocardial infarction-associated CS (n = 103) were classified as T1MI (n = 61) or T2MI (n = 42).
Porcelain Aorta and Radiation-Induced Mitral Annular Calcification Are Not Contraindications to Surgery.
JACC Case Rep
January 2025
Heart, Vascular, and Thoracic Institute, Cleveland Clinic London, London, United Kingdom.
We describe the case of a 52-year-old man with radiation-induced severe mixed aortic and mitral valve disease, thickening of the aortomitral continuity, mitral annular calcification, and porcelain aorta with limited transcatheter treatment options. By replacing the aorta during circulatory arrest, we demonstrate that it is possible to clamp the ascending aorta to facilitate prosthetic aortic and mitral valve replacement.
View Article and Find Full Text PDFPreexisting hemodialysis and survival outcome in out-of-hospital cardiac arrest patients: Ulsan, South Korea.
Front Med (Lausanne)
January 2025
Department of Emergency Medicine, College of Medicine, Dong-A University Hospital, Dong-A University, Busan, Republic of Korea.
Background: Although the incidence of sudden cardiac death is higher in hemodialysis (HD) patients, whether out-of-hospital cardiac arrest (OHCA) survival outcomes are poorer in this group remains unclear. This study aimed to assess the impact of HD on survival outcomes among adult nontraumatic OHCA patients and to compare these outcomes between HD and non-HD groups.
Methods: This observational cohort study retrospectively analyzed data from adult nontraumatic OHCA patients in Ulsan, South Korea, from January 2017 through December 2022.
Outcome from out-of-hospital cardiac arrest managed by the pre-hospital emergency medical system in Martinique, a French Caribbean Overseas Territory.
Resusc Plus
January 2025
Department of Emergency Medicine, SAMU 972, University Hospital of Martinique (CHU de Martinique), Fort-de-France, Martinique, France.
Introduction: Out-of-hospital cardiac arrest (OHCA) affects approximately 46,000 people in France annually and survival remains low. There is no published data specific to the characteristics and outcomes of OHCA in French overseas territories, especially in the French Caribbean territories. The aim of this study was to describe the characteristics and outcomes of adult OHCA patients managed by the Emergency Medical Service team (EMS) in Martinique.
View Article and Find Full Text PDFIncidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit.
Resusc Plus
January 2025
Department of Pediatrics, University of Virginia School of Medicine, Box 800386, Charlottesville, VA 22908, USA.
Background: More than 90% of in-hospital cardiac arrests involving children occur in an intensive care unit (ICU) with less than half surviving to discharge. We sought to assess the association of the display of risk scores of cardiovascular and respiratory instability with the incidence of cardiac arrest in a pediatric ICU.
Methods: Employing supervised machine learning, we previously developed predictive models of cardiovascular and respiratory instability, incorporating real-time physiologic and laboratory data, to display risk scores for potentially catastrophic clinical events in the subsequent 12 h.
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