K. Lechleitner ∗, D. Lemon, J. Wilcox, W. Adie, A. Baumann, A. Holwell, P. Stewart
{"title":"Aboriginal Health Worker-Led Use of Culturally Appropriate Communication Tools Including Associative Interpretation to Achieve Bi-Directional Learning and Improve Patient and Medical Staff Satisfaction and Clinical Outcomes","authors":"K. Lechleitner ∗, D. Lemon, J. Wilcox, W. Adie, A. Baumann, A. Holwell, P. Stewart","doi":"10.1016/j.hlc.2025.05.004","DOIUrl":"10.1016/j.hlc.2025.05.004","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Page S58"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Fisher ∗ , F. Passaris , J. Tully , W. Wang , V. Bryce
{"title":"Bridging the Gap, The Role of Aboriginal and Torres Strait Islander Health Workers in the Better Cardiac Care Service","authors":"C. Fisher ∗ , F. Passaris , J. Tully , W. Wang , V. Bryce","doi":"10.1016/j.hlc.2025.05.011","DOIUrl":"10.1016/j.hlc.2025.05.011","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Page S61"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acceptability and Effectiveness of the DiRECT Weight Loss Intervention in Aotearoa: A Randomised Controlled Trial","authors":"A. Reynolds ∗, J. Camp ∗","doi":"10.1016/j.hlc.2025.05.027","DOIUrl":"10.1016/j.hlc.2025.05.027","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Pages S68-S69"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poster not presented.","authors":"","doi":"10.1016/j.hlc.2025.05.049","DOIUrl":"10.1016/j.hlc.2025.05.049","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Page S79"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Katzenellenbogen ∗ , V. Stroud , J. Drummond , A. Cook , M. West , G. Chaseling , N. Edwards , P. Franklin , S. Joyce , R. Walker
{"title":"The Wakuthuni Heat Waves Project: Building Community Resilience to Mitigate Against Cardiovascular and Other Health Effects of Extreme Heat in Pilbara, Australia","authors":"J. Katzenellenbogen ∗ , V. Stroud , J. Drummond , A. Cook , M. West , G. Chaseling , N. Edwards , P. Franklin , S. Joyce , R. Walker","doi":"10.1016/j.hlc.2025.05.018","DOIUrl":"10.1016/j.hlc.2025.05.018","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Page S64"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zac A. Tsigaras MD , Victor Hui MBBS , Luke Perry MBBS , Zach O’Brien MBBS , Bobby Ou Yang MBBS , Anh Tuan Jackson Hua MBBS , Kartik Kishore MSc , Siven Seevanayagam MBBS , Rinaldo Bellomo PhD
{"title":"The Use of Antipsychotic Medications in Cardiac Surgery: Prevalence, Trajectory, Risk Factors and Outcomes","authors":"Zac A. Tsigaras MD , Victor Hui MBBS , Luke Perry MBBS , Zach O’Brien MBBS , Bobby Ou Yang MBBS , Anh Tuan Jackson Hua MBBS , Kartik Kishore MSc , Siven Seevanayagam MBBS , Rinaldo Bellomo PhD","doi":"10.1016/j.hlc.2025.02.104","DOIUrl":"10.1016/j.hlc.2025.02.104","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing cardiac surgery are at risk for postoperative delirium and antipsychotic medication (APM) therapy. However, the prevalence, risk factors, and outcomes associated with these therapies remain unclear.</div></div><div><h3>Methods</h3><div>We retrospectively studied patients who underwent cardiac surgery between 2012 and 2021 using electronic databases. We obtained data on the use of APMs. We used cardinality matching to identify the patient and surgical characteristics associated with postoperative APM therapy and to study whether APM therapy was associated with outcomes.</div></div><div><h3>Results</h3><div>We studied 3,188 patients. Of these, 13.6% (433/3,188) received APMs in the form of quetiapine (85.0%), haloperidol (41.1%), olanzapine (22.2%), or risperidone (2.1%). APM therapy lasted a median of 3 days at a median daily dose of 2.5 mg olanzapine equivalents, most commonly first administered on day 2 (interquartile range 1.7–3.9), after extubation, and before discharge from the intensive care unit (ICU). Haloperidol use decreased during the study period. Cardinality matching revealed that longer cardiopulmonary bypass time, mechanical ventilation, longer ICU stay, and postoperative acute kidney injury were associated with APM therapy. After matching, there was no difference between APM and control patients for mortality (absolute risk reduction [aRR] 0.94; 95% confidence interval [CI] 0.46–1.89; p=0.85) or hospital readmission rates (aRR 0.95; 95% CI 0.74–1.20; p=0.66). APM therapy, however, was associated with discharge to a destination other than home (aRR 1.39; 95% CI 1.11–1.66; p<0.001). Only a minority (12.4%) of those who received postoperative APM received further prescriptions upon discharge.</div></div><div><h3>Conclusions</h3><div>APM therapy was common in cardiac surgery patients. APM therapy was an average of 3 days. The risk factors included longer cardiopulmonary bypass and ventilation, longer ICU stay, and acute kidney injury. APM therapy was not associated with mortality or hospital readmission. However, this was associated with decreased discharge to the home. Prescriptions upon discharge and at the 6 months following were rare.</div></div>","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 6","pages":"Pages 619-626"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extracting Mechanisms of Cardiac and Vascular Function From the ‘Disorder’ of Ageing: Edward G. Lakatta’s Opus","authors":"Salvatore Pepe PhD, FAHA, FESC, FCSANZ","doi":"10.1016/j.hlc.2025.05.079","DOIUrl":"10.1016/j.hlc.2025.05.079","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 6","pages":"Pages 533-536"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"6-Month Outcomes Following PCI for Indigenous Australians in the ACT and Surrounding Areas Over 22 Years","authors":"A. Rao , S. Morberger ∗ , P. Scott","doi":"10.1016/j.hlc.2025.05.066","DOIUrl":"10.1016/j.hlc.2025.05.066","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":"34 ","pages":"Pages S85-S86"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}