Eighteen cases had successful heart surgery (correction of congenital cardiac deformity in 6, valve replacement in 7, and CABG in 5) with normothermic cardiopulmonary-bypass. The main characteristics of warm heart surgery include normothermic perfusion for keeping the body temperature in normal range, that is core temperature at 35-37 degrees C, and arresting the heart by continuous administration of warm oxygenated blood cardioplegia. The cardioplegia was composed of 1 portion of high-potassium crystalloid solution and 4 portions of oxygenated blood. The crystalloid solution was St. Thomas solution adding some Kcl to make the potassium concentration at 80 or 40mmol/L. In the 18 cases, 17 hearts returned beating from arresting spontaneously, but 2 hearts had resuscitation delayed because of hyperkalemia. There were no low output syndrome, serious cardiac arrhythmia and operative death. No myocardial ischemic and reperfusion periods were noted in warm heart surgery so ischemic/reperfusion injury could be almost eliminated. However there were too much blood in the operative field and hyperkalemia tendency.
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Ann Card Anaesth
January 2025
Department of Anesthesiology, IDIBAPS, Hospital Clínic, University of Barcelona, 10 Villarroel St, Barcelona, Spain.
Donation after circulatory death is helping to expand the donor pool for heart transplantation. Nevertheless, these hearts are more susceptible to myocardial edema and decision of accepting the organ can be a challenge for the heart transplant team. Hemodynamic and echocardiographic criteria are used routinely, but there is still a lack of strong evidence that supports the decision-making in particular situations.
View Article and Find Full Text PDFFront Public Health
January 2025
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Introduction: Facing Mount Tai in the south and the Yellow River in the north, Zibo District is an important petrochemical base in China. The effect of air pollution on cardiovascular diseases (CVDs) in Zibo was unclear.
Methods: Daily outpatient visits of common CVDs including coronary heart disease (CHD), stroke, and arrhythmia were obtained from 2019 to 2022 in Zibo.
Fed Pract
October 2024
Veterans Affairs Boston Healthcare System, West Roxbury, Massachusetts.
: A 65-year-old male veteran presented to the Veterans Affairs Boston Healthcare System (VABHS) emergency department with progressive fatigue, dyspnea on exertion, lightheadedness, and falls over the last month. New bilateral lower extremity numbness up to his knees developed in the week prior to admission and prompted him to seek care. Additional history included 2 episodes of transient loss of consciousness resulting in falls and a week of diarrhea, which had resolved.
View Article and Find Full Text PDFInt J Sports Physiol Perform
January 2025
Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong.
Background: The Los Angeles 2028 Olympics will mark the debut of squash, a high-intensity sport characterized by repeated efforts, posing potential thermoregulatory challenges. The demanding nature of squash results in substantial metabolic heat production, with consequential heat strain exacerbated by the indoor environment of squash courts, where low to moderate evaporative potential limits effective cooling. Players often experience increased body-heat storage and thermal strain, with muscle cramps (an early warning sign of more severe heat-related illnesses) commonly observed during tournaments.
View Article and Find Full Text PDFJ Sport Rehabil
January 2025
College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA.
Context: Guidelines for various movement assessments often instruct clinicians to conduct testing without a warm-up. Warm-ups are commonly performed to increase heart rate, decrease stiffness, and prepare for sport-specific demands. Since athletes typically complete a warm-up prior to sport participation, evaluating biomechanics in this condition may provide a better indication of their bodies' physical capabilities.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!