128 results match your criteria: ""Niculae Stancioiu" Heart Institute[Affiliation]"

Inflammation and oxidative stress processes in induced precocious puberty in rats.

Heliyon

December 2024

Pharmacology, Toxicology and Clinical Pharmacology, Department of Morphofunctional Sciences, "Iuliu Haţieganu" University of Medicine and Pharmacy, Victor Babeș, No 8, 400012, Cluj-Napoca, Romania.

This study aimed to assess the influence of different types of blue light sources on male and female rats' puberty onset, the morphologic-induced alterations in reproductive organs tissues, the impact on inflammation and oxidative stress markers, anxiety levels, and mathematical modeling for tissue data interpretation. Four groups of sixteen rats each (8 females and 8 males/group) were investigated: three groups were exposed to blue light from mobile phones (MP), computer screens (PC), or LED lamps (LED) versus the control group (CTRL). The rats in the CTRL group had no exposure while the other groups were exposed for 30 days to the blue light of MP, PC, and LED for 16 h per day.

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Article Synopsis
  • Heavily calcified coronary artery disease complicates percutaneous coronary intervention (PCI), requiring advanced techniques like cutting balloons (CB), which need standardization for better effectiveness.
  • The study presents the RODIN-CUT technique, which involves sequential CB inflations guided by intravascular ultrasound (IVUS) to improve plaque modification and stent expansion in difficult cases.
  • Results indicate that RODIN-CUT achieved high procedural success rates and minimal complications, suggesting it could be a simple and cost-effective method for treating calcified lesions, though larger studies are needed to confirm its validity.
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Background: Advancing the retrograde microcatheter (MC) into the antegrade guide catheter during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) can be challenging or impossible, preventing guidewire externalization.

Objectives: To detail and evaluate all the techniques focused on wiring to achieve intubation of the distal tip of a microcatheter, balloon, or stent with an antegrade or retrograde guidewire, aiming to reduce complications by minimizing tension on fragile collaterals during externalization and enabling rapid antegrade conversion in various clinical scenarios.

Methods: We describe the two main techniques, tip-in and rendezvous, and their derivatives such a facilitated tip-in, manual MC-tip modification, tip-in the balloon, tip-in the stent, deep dive rendezvous, catch-it and antegrade microcatheter probing.

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Background: The vasoactive-inotropic score (VIS) predicts unfavorable outcomes after cardiac surgery in both children and adults. In our adult population, we investigated whether preoperative levels of vitamin D can predict the VIS and whether both vitamin D and the VIS can predict adverse outcomes following major heart surgery.

Methods: Between 1 October 2021 and 28 February 2022, 300 patients underwent major cardiac surgery at our institution.

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: COVID-19-related pulmonary complications, such as lung abscesses and pleural empyema, are rare but serious. This study presents a case series of three patients with COVID-19-associated lung abscesses complicated by pleural empyema, managed conservatively with percutaneous intracavitary drainage (ICD) and lavage. We assess the efficacy and safety of this treatment and compare our findings with the current literature.

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Reflex syncope (RS) is the most prevalent form of syncope, yet its pathophysiology and clinical presentation are not well understood. Despite controversy, the 'ventricular theory' remains the most plausible hypothesis to explain RS in susceptible patients. Certain assumptions regarding the geometry and function of the heart are essential in supporting this theory.

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Article Synopsis
  • - Vasculitis is a rare condition that causes inflammation of blood vessels and can affect various body systems, making diagnosis and treatment challenging due to its diverse symptoms.
  • - Large vessel vasculitis (LVV), specifically giant cell arteritis (GCA) and Takayasu arteritis (TAK), can lead to severe health issues, and early detection is vital to prevent potential organ damage.
  • - Imaging techniques like CT angiography, ultrasound, MRI, and PET-CT play a crucial role in diagnosing LVV by showing signs of vessel wall changes, and a collaborative approach among healthcare professionals is essential for better patient care.
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The use of biomarkers in cardiovascular surgery is an evolving field with promising potential; however, current research remains largely limited, requiring further validation for routine clinical application. This review explores the application of biomarkers in cardiovascular surgery, focusing on heart failure, cardiac ischemia, and organ dysfunction, including renal, cerebral, pulmonary, and splanchnic impairments. Additionally, it examines the significance of biomarkers in assessing the inflammatory state and oxidative stress during the perioperative period, particularly in the context of major surgical trauma and cardiopulmonary bypass (CPB).

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Nigella sativa oil attenuates inflammation and oxidative stress in experimental myocardial infarction.

BMC Complement Med Ther

October 2024

Pharmacology, Toxicology and Clinical Pharmacology, Department of Morphofunctional Sciences, "Iuliu Haţieganu" University of Medicine and Pharmacy, Victor Babeș, No 8, Cluj-Napoca, 400012, Romania.

Background: A growing interest in using Nigella sativa oil (NSO) in the prevention or treatment of several cardiovascular diseases has prompted this study. The research aims to investigate the effect of NSO on cardiac damage prevention after long-term administration in induced myocardial infarction (MI) in rats.

Methods: NSO was analyzed for its fatty acids composition using gas chromatography-mass spectrometry (GC-MS) analysis and administered in rats before and after isoproterenol (45 mg/kg body weight) induced myocardial infarction.

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: The perioperative impact of calcium and vitamin D on left ventricular (LV) performance during major cardiac surgery remains unexplored. We aimed to assess the relation of calcium and vitamin D measured at different time points with the LV ejection fraction (EF), and to investigate whether changes in EF correlate with postoperative outcomes. : We enrolled 83 patients, in whom ionized calcium was measured before, during, and after surgery (until discharge), vitamin D preoperatively, and EF pre- and postoperatively at 24 h.

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The process of coronary calcification represents one of the numerous pathophysiological mechanisms involved in the atherosclerosis continuum. Optical coherence tomography (OCT) represents an ideal imaging modality to assess plaque components, especially calcium. Different calcification patterns have been contemporarily described in both early stages and advanced atherosclerosis.

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Background: Arterial hypertension is regarded as a possible biomarker of treatment efficacy in colorectal cancer. Also, extended anti-angiogenic use in the metastatic treatment of the colorectal neoplasm may result in elevated blood pressure. We carried out a systematic review and meta-analysis to assess the clinical outcome of colorectal cancer patients with concomitant hypertension (HTN).

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Macrocephaly and Finger Changes: A Narrative Review.

Int J Mol Sci

May 2024

Association for Innovation in Rare Inflammatory, Metabolic, Genetic Diseases INNOROG, 30E, Făgetului St., 400497 Cluj-Napoca, Romania.

Article Synopsis
  • Macrocephaly is the condition of having an unusually large head, which can be linked to specific finger changes, making diagnosis tricky for clinicians.
  • This review highlights various genetic and acquired causes of macrocephaly and finger changes, including skeletal disorders, metabolic diseases, and autoimmune conditions.
  • Understanding the complex genetic and hormonal factors involved in human growth is essential for accurate diagnosis and effective treatment, ultimately leading to better outcomes for individuals with these conditions.
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Subintimal intravascular lithotripsy to optimize external crush stenting.

Eur Heart J Case Rep

May 2024

Department of Internal Medicine, Invasive Cardiology Division, University of Szeged, Semmelweis u. 8, Szeged 6725, Hungary.

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There is emerging but conflicting evidence regarding the association between calcium biomarkers, more specifically ionized calcium and the prognosis of intensive care unit (ICU) postoperative cardiac patients. : Our study investigated the relationship between ionized calcium, vitamin D, and periprocedural clinical events such as cardiac, neurologic and renal complications, major bleeding, vasoactive-inotropic score (VIS), and length of ICU and hospitalization. : Our study included 83 consecutive subjects undergoing elective major cardiac surgery requiring cardiopulmonary bypass.

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Cardiovascular health of patients with cancer: Challenges abound.

Trends Cardiovasc Med

January 2025

Norwich Medical School, University of East Anglia, Norwich Research Park, Rosalind Franklin Road, Norwich, UK; Department of Cardiology, Norfolk and Norwich University NHS Foundation Trust, Colney Lane, Norwich, UK.

Patients with cancer have elevated cardiovascular risks compared to those without cancer. As cancer incidence increases and cancer-related mortality decreases, cardiovascular diseases in patients with a history of cancer will become increasingly important. This in turn is reflected by the exponentially increasing amount of cardio-oncology research in recent years.

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How much data is enough data for imaging-guided PCI?

Int J Cardiol

July 2024

Department of Cardiology, "Niculae Stancioiu" Heart Institute, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania; University Heart Center Graz, Medical University of Graz, Graz, Austria. Electronic address:

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Clonal hematopoiesis (CH) is a risk factor for atherosclerotic cardiovascular disease, but the impact of smaller clones and the effect on inflammatory parameters is largely unknown. Using ultrasensitive single-molecule molecular inversion probe sequencing, we evaluated the association between CH and a first major adverse cardiovascular event (MACE) in patients with angiographically documented stable coronary artery disease (CAD) and no history of acute ischemic events. CH was associated with an increased rate of MACE at four years follow-up.

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(1) : Mechanical circulatory support (MCS) in myocardial infarction-associated cardiogenic shock is subject to debate. This analysis aims to elucidate the impact of MCS's timing on patient outcomes, based on data from the PREPARE CS registry. (2) : The PREPARE CS prospective registry includes patients who experienced cardiogenic shock (SCAI classes C-E) and were subsequently referred for cardiac catheterization.

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Article Synopsis
  • * Ultrasonography (US) is highlighted as an effective and accessible imaging technique for diagnosing PAD, as it is safe and avoids radiation exposure.
  • * This review aims to summarize the relationship between US-detected atherosclerosis in various vascular sites and both the presence and severity of CAD, emphasizing the importance of early PAD detection for improving patient outcomes in those with CAD.
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Genetic Characterization of Dilated Cardiomyopathy in Romanian Adult Patients.

Int J Mol Sci

February 2024

Department of Microscopic Morphology, Genetics Discipline, Center of Genomic Medicine, University of Medicine and Pharmacy "Victor Babeș" Timișoara, 2 Piaţa Eftimie Murgu Street, 300041 Timişoara, Romania.

Article Synopsis
  • Dilated cardiomyopathy (DCM) is a serious heart condition linked to genetic factors, increasing the risk of heart failure and sudden cardiac death; genetic testing plays a crucial role in managing and understanding the disease.
  • A study of 122 Romanian patients with DCM revealed that over half (50.8%) had identifiable genetic variants that could cause the disease, along with 31 new variants that had not been reported before.
  • The findings indicate that more than half of the patients had a family history of DCM or sudden cardiac death, underscoring the importance of genetic testing for better risk assessment and treatment strategies in this population.
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Background: Discordance between coronary angiographic findings and invasive functional significance is well-established. Yet, the prevalence of this mismatch in an era increasingly utilizing invasive functional assessments, such as fractional flow reserve (FFR), remains unclear. This study examines the extent of such discrepancies in current clinical practice.

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