17,138 results match your criteria: "Pericardial Effusion"

Posterior cardiac drain for atrial fibrillation after aortic valve replacement.

SAGE Open Med

November 2024

Department of Thoracic & Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan.

Background: Postoperative atrial fibrillation occurs in 27% to 40% of patients after cardiac surgery. One cause of postoperative atrial fibrillation is pericardial effusion, which can be a significant source of inflammation. In this study, we investigated the effect of a drain placed in a posterior site to the heart to reduce pericardial effusion in the early postoperative period to prevent postoperative atrial fibrillation.

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Introduction And Importance: The severity of a bee sting reaction can vary. There are two kinds of responses: local and systemic. The systemic manifestations are rare, especially polyserositis.

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Background: Most coronary artery aneurysms (CAAs) are clinically asymptomatic and are only detected incidentally during cardiac imaging. However, CAAs can cause fatal complications such as cardiac tamponade following a rupture. Reports of contained ruptures of CAAs are limited.

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Tuberculous Pericarditis in an Immunocompromised Patient: A Case Report.

Cureus

October 2024

Cardiology, King Abdulaziz Medical City, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, SAU.

Article Synopsis
  • A 43-year-old male with a history of chronic severe pericarditis, right-sided heart failure, and rheumatoid arthritis presented with chest pain, dyspnea, ascites, and limb edema.
  • Diagnostic tests revealed significant pericardial thickening and necrotic lymph nodes, with a positive QuantiFERON-TB test confirming tuberculous pericarditis (TBP).
  • The patient was treated with anti-tuberculosis therapy and a radical pericardiectomy, highlighting the need for prompt diagnosis and management to enhance patient outcomes in TBP cases.
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Primary cardiac angiosarcoma is a rare and aggressive malignant tumor with a poor clinical outcome. Its nonspecific symptoms often complicate early diagnosis. Here, we present the case of a 39-year-old man who initially presented with pericardial effusion and cardiac tamponade.

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Aim: This study investigates the prognostic value of the Hemoglobin/Red Blood Cell Distribution Width Ratio (HRR) and the Red Blood Cell Distribution Width/Albumin Ratio (RAR) in patients with myocarditis. We aimed to evaluate how these novel biomarkers correlate with clinical parameters, disease severity, and outcomes.

Methods: A retrospective analysis was conducted on 301 patients diagnosed with myocarditis between January 2020 and March 2024.

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Imaging and Circulating Biomarker-Defined Cardiac Pathology in Pulmonary Tuberculosis: A Systematic Review.

Glob Heart

November 2024

Department of Non-Communicable Diseases Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom.

Background: Pulmonary tuberculosis (PTB) is associated with increased cardiovascular disease (CVD) mortality. However, underlying pathophysiological mechanisms are poorly understood. This systematic review aims to synthesise the evidence on the prevalence of cardiac pathology based on cardiac imaging and circulating biomarkers in patients with PTB.

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 This report presents a case of an acute Type A aortic dissection in a young patient with atypical symptoms, highlighting the importance of prompt radiology-aided diagnosis and intervention. A 29-year-old male with no significant medical history presented with right upper quadrant and epigastric pain, along with leg numbness. Extensive imaging revealed an ascending aortic dissection with a 5.

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Background: Data on the effects of combined left atrial appendage occlusion (LAAO) and catheter ablation (CA) for atrial fibrillation (AF) remain limited. We aimed to perform a systematic review and meta-analysis comparing LAAO and CA versus isolated LAAO.

Methods: We systematically searched PubMed, Embase, and Cochrane Library for studies comparing combined LAAO and CA versus isolated LAAO in patients with atrial fibrillation.

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Aim: To study the factors that influence the occurrence of postoperative atrial fibrillation (POAF) in patients with chronic ischemic heart disease (IHD) after coronary artery bypass grafting (CABG).

Material And Methods: This single-center prospective observational non-randomized study included 152 patients with chronic IHD. Mean age of patients was 64.

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Patent foramen ovale (PFO) is a congenital heart defect affecting up to 25% of the population, associated with an increased risk of cryptogenic stroke. Percutaneous PFO closure is a minimally invasive procedure aimed at reducing stroke risk by eliminating the right-to-left shunt. This monocentric, retrospective study analyzed 716 patients who underwent PFO closure between January 2000 and February 2023.

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Background: Various complications of permanent pacemaker implantation have been reported. However, late pacemaker lead-related myocardial perforation rarely occurs. Conservative treatment is generally selected, if possible, but open heart surgery or catheter lead removal should be considered in symptomatic patients.

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Background: Primary cardiac angiosarcomas are extremely rare and their prognosis is poor. Surgical resection is the first-line treatment; however, no clear standard of care has been clearly established because of the rarity of these tumors.

Case Presentation: A 61-year-old man who had presented with dyspnea on exertion was referred to our hospital.

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Successful surgical repair of aortic root rupture during transcatheter aortic valve implantation: a case report.

Gen Thorac Cardiovasc Surg Cases

October 2024

Department of Cardiovascular Surgery, Hakodate Municipal Hospital, 1-10-1 Minato-cho, Hakodate City, Hokkaido, 041-8680, Japan.

Background: Aortic root rupture is a rare but potentially fatal complication of transcatheter aortic valve implantation (TAVI). Herein, we report a case of aortic root rupture during TAVI that was successfully managed with partial aortic root repair and aortic valve replacement.

Case Presentation: An 83-year-old woman with severe bicuspid aortic stenosis underwent transfemoral TAVI using a 26 mm SAPIEN 3 Ultra RESILIA valve.

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Complications associated with pulsed field ablation vs radiofrequency catheter ablation of atrial fibrillation.

Heart Rhythm

November 2024

Electrophysiology Section, Duke University Medical Center, Duke Clinical Research Institute, Durham, North Carolina; Department of Medicine, Duke University School of Medicine, Durham, North Carolina. Electronic address:

Background: The first commercial systems for pulsed field ablation (PFA) were recently approved by the Food and Drug Administration, but their safety profile in nationwide practice remains underexplored.

Objectives: This study aimed to describe reported adverse events with PFA systems after their market release and to compare the relative proportion of complications associated with PFA vs radiofrequency (RF) ablation catheters.

Methods: We conducted a search of the Manufacturer and User Facility Device Experience database for adverse event reports involving Food and Drug Administration-approved PFA and RF catheters from January 1, 2024, to July 31, 2024.

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Radiofrequency balloon ablation: 1-year outcomes of the AURORA study.

J Interv Card Electrophysiol

November 2024

Cardioangiologisches Centrum Bethanien, Frankfurt am Main, Germany.

Background: A novel irrigated radiofrequency balloon (RFB) for pulmonary vein isolation (PVI) integrated into a 3D mapping platform was recently launched.

Methods: Patients undergoing a first atrial fibrillation (AF) ablation at two German high-volume EP centers were included into the prospective AURORA registry. All patients underwent clinical follow-up (FU) at 90, 180, and 360 days following ablation including 48-h Holter ECGs.

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Generalized edema is commonly encountered in everyday clinical practice, usually due to heart, liver and renal disease. On the other hand, edema related to fluid extravasation associated with hypotension, hemoconcentration and hypalbuminemia is a rare clinical disorder. We present a case of a 61-year-old man with 3 subsequent endothelium permeability alteration episodes with increasing severity related to Sars-Cov-2 infection.

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Article Synopsis
  • The in-person escape room activity focuses on the complexities of HIV management in India, aimed at Emergency Medicine trainees and other medical specialties needing HIV knowledge.
  • It addresses the various reasons patients with HIV visit the Emergency Department and emphasizes the need for EM providers to be skilled in managing HIV despite advancements in treatment.
  • By participating, learners will enhance their understanding of antiretroviral therapies, including prescribing them for new HIV diagnoses.
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Background: The complications associated with cardiac device implants ranges between 5.3% and 14.3%.

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Atrial and ventricular arrhythmias are common in patients with Infiltrative heart diseases. This review discusses ablative techniques for arrhythmias in amyloidosis, sarcoidosis, hemochromatosis, and glycogen storage disorders, primarily focusing on atrial fibrillation (AF). A thorough literature review was conducted on the MEDLINE database to synthesize current knowledge and propose future research directions.

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[Uremic pericarditis in a not-so-terminal chronic kidney disease].

Rev Med Suisse

November 2024

Service de médecine interne, Réseau de l'arc, Hôpital de Moutier, 2740 Moutier.

Article Synopsis
  • - A 90-year-old patient with stage G4 chronic kidney disease developed pneumonia and congestive heart failure, but his condition worsened despite treatment with levofloxacin and furosemide.
  • - A CT scan showed pericardial effusion, suggesting uremic pericarditis, which is often seen in end-stage renal disease due to the buildup of toxins.
  • - Initiating daily hemodialysis led to major improvement, highlighting the importance of early diagnosis and treatment to prevent complications in patients with kidney issues.
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Gastric pericardial fistula in a bariatric patient.

Int J Surg Case Rep

December 2024

Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, United States of America.

Article Synopsis
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Sex-related differences in early morphological and clinical outcomes in patients with type A intramural haematoma: an observational cohort study.

Eur J Cardiothorac Surg

November 2024

Vascular Surgery Center, Fuwai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objectives: To investigate sex-based differences in presenting characteristics and early outcomes of type A intramural haematoma.

Methods: Patients with type A intramural haematoma in an institutional cohort were consecutively enrolled between December 2013 and July 2022. Presenting characteristics, morphological progression and all-cause death during hospitalization were evaluated according to patient sex.

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Cardiac Evaluation in Children With Chronic Renal Failure and Effect of Kidney Transplant.

Exp Clin Transplant

October 2024

From the Department of Pediatric Cardiology, Başkent University, Ankara Hospital, Ankara, Turkey.

Article Synopsis
  • Cardiovascular diseases significantly impact children with chronic renal failure, making cardiac evaluations important before and after kidney transplants.
  • A study analyzed echocardiography data from 55 pediatric patients, comparing their cardiac health before and after transplantation by looking at various measurements like left ventricular dimensions and function over a 6-month period.
  • Results showed that kidney transplants led to important improvements in heart structure and function, highlighting the need for ongoing cardiac monitoring in these patients to ensure better health outcomes.
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