International Journal of Angiology最新文献

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Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus. 冷冻象鼻技术治疗大面积胸主动脉壁血栓。
IF 0.6
International Journal of Angiology Pub Date : 2023-06-01 DOI: 10.1055/s-0041-1740916
Dmitri S Panfilov, Boris N Kozlov
{"title":"Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus.","authors":"Dmitri S Panfilov,&nbsp;Boris N Kozlov","doi":"10.1055/s-0041-1740916","DOIUrl":"https://doi.org/10.1055/s-0041-1740916","url":null,"abstract":"<p><p>We describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detected. No thrombus recurrence was observed during 19 months of follow-up.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"140-142"},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191685/pdf/10-1055-s-0041-1740916.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interhospital Transfer versus Direct Admission in Patients with Acute ST-Segment Elevation Myocardial Infarction. 急性st段抬高型心肌梗死患者的院间转院与直接住院
IF 0.6
International Journal of Angiology Pub Date : 2023-06-01 DOI: 10.1055/s-0040-1714686
Surya Dharma, Iwan Dakota, Hananto Andriantoro, Isman Firdaus, Citra P Anandira, Basuni Radi
{"title":"Interhospital Transfer versus Direct Admission in Patients with Acute ST-Segment Elevation Myocardial Infarction.","authors":"Surya Dharma,&nbsp;Iwan Dakota,&nbsp;Hananto Andriantoro,&nbsp;Isman Firdaus,&nbsp;Citra P Anandira,&nbsp;Basuni Radi","doi":"10.1055/s-0040-1714686","DOIUrl":"https://doi.org/10.1055/s-0040-1714686","url":null,"abstract":"<p><p>There is concern whether patients with ST-segment elevation myocardial infarction (STEMI) who admitted to a percutaneous coronary intervention (PCI) center from interhospital transfer is associated with longer reperfusion time compared with direct admission. We evaluated the reperfusion delays in patients with STEMI who admitted to a primary PCI center through interhospital transfer or direct admission. We retrospectively analyzed 6,494 consecutive STEMI patients admitted between 2011 and 2019. Compared with direct admission ( <i>n</i>  = 4,121; 63%), interhospital transferred patients ( <i>n</i>  = 2,373) were younger (55 ± 10 vs. 56 ± 10 years, <i>p</i>  < 0.001), had similar gender (85.6 vs. 86% male, <i>p</i>  = 0.67), greater proportion of off-hour admission (65.2 vs. 48.3%, <i>p</i>  < 0.001), less diabetes mellitus (28 vs. 30.8%, <i>p</i>  = 0.019), and received more primary PCI (70.5 vs. 48.7%, <i>p</i>  < 0.001). Interhospital transferred patients who received primary PCI ( <i>n</i>  = 3,677) or fibrinolytic ( <i>n</i>  = 238) had longer symptom-to-PCI center admission time (median, 360 vs. 300 minutes, <i>p</i>  < 0.001), shorter door-to-device (DTD) time for primary PCI (median, 74 vs. 87 minutes, <i>p</i>  < 0.001), and longer total ischemic time (median, 465 vs. 414 minutes, <i>p</i>  < 0.001). Logistic regression in interhospital transferred patients showed that delay in door-in-to-door-out (DI-DO) time at the first hospital was strongly associated with prolonged total ischemic time (adjusted odds ratio = 3.92; 95% confidence interval: 3.06-5.04, <i>p</i>  < 0.001). This study suggests that although interhospital transferred patients received more primary PCI with shorter DTD time, interhospital transfer creates longer total ischemic time that associates with the delay in DI-DO time at the first hospital that should be improved.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"121-127"},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1714686","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Venous Thromboembolism Risk Assessment and Thromboprophylaxis Practice in General Medical Patients Requiring Admissions to General Wards: A Singapore's Perspective, Part 2. 静脉血栓栓塞风险评估和血栓预防实践在普通病房需要入院的普通医疗患者:新加坡的观点,第2部分。
IF 0.6
International Journal of Angiology Pub Date : 2023-06-01 DOI: 10.1055/s-0041-1730448
Chaozer Er, Navin Kuthiah, Thofique Adamjee, Jam Chin Tay
{"title":"Venous Thromboembolism Risk Assessment and Thromboprophylaxis Practice in General Medical Patients Requiring Admissions to General Wards: A Singapore's Perspective, Part 2.","authors":"Chaozer Er,&nbsp;Navin Kuthiah,&nbsp;Thofique Adamjee,&nbsp;Jam Chin Tay","doi":"10.1055/s-0041-1730448","DOIUrl":"https://doi.org/10.1055/s-0041-1730448","url":null,"abstract":"on","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"146-152"},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191693/pdf/10-1055-s-0041-1730448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparisons of Patients Living Alone versus Living with Others in Acute Coronary Syndrome. 急性冠状动脉综合征患者独居与与他人同住的比较。
IF 0.6
International Journal of Angiology Pub Date : 2023-04-12 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1767697
Yusaku Shibata, Nobuaki Kobayashi, Akihiro Shirakabe, Yasushi Miyauchi, Kuniya Asai
{"title":"Comparisons of Patients Living Alone versus Living with Others in Acute Coronary Syndrome.","authors":"Yusaku Shibata, Nobuaki Kobayashi, Akihiro Shirakabe, Yasushi Miyauchi, Kuniya Asai","doi":"10.1055/s-0043-1767697","DOIUrl":"10.1055/s-0043-1767697","url":null,"abstract":"<p><p>We aimed to examine the relationship of living arrangements (i.e., living alone or living with others) with background, clinical severity, preintervention culprit lesion plaque morphology, and clinical outcomes in patients with acute coronary syndrome (ACS). Among 1,683 consecutive patients with ACS, we retrospectively compared patients living alone ( <i>n</i>  = 318) versus living with others ( <i>n</i>  = 1,362). Optical coherence tomography (OCT) findings, which are high-resolution intracoronary imaging devices, were analyzed in patients with preintervention OCT and compared between patients living alone ( <i>n</i>  = 174) versus those living with others ( <i>n</i>  = 665). Older (median; 69 vs. 67 y, <i>p</i>  = 0.046) and female (31 vs. 17%, <i>p</i>  < 0.001) patients more frequently lived alone. Frequency of achieving a time interval of 6 hours or less from ACS onset to admission was lower in patients living alone (56 vs. 63%, <i>p</i>  = 0.022). Clinical presentation was more severe in patients living alone (Killip II/III/IV; 27 vs. 22%, <i>p</i>  = 0.029). Plaque morphology evaluated by OCT was similar between groups (plaque rapture; 48 vs. 48%, <i>p</i>  = 0.171). Kaplan-Meier analyses revealed higher rates of cardiac mortality during 2-year follow-up period in patients living alone [13.9 vs. 8.5%, hazard ratio (HR) 1.604, 95% confidence interval (CI) 1.112-2.313, <i>p</i>  = 0.010]. After traditional cardiovascular risk factors and clinical severity upon admission had been adjusted, living alone was an independent predictor of cardiac mortality in ACS patients (HR 1.582, 95% CI 1.056-2.371, <i>p</i>  = 0.026). Living alone was independently associated with 2-year cardiacmortality in ACS patients after adjusting for background and presentation and might be unrelated to the development of atherosclerosis.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 3","pages":"179-187"},"PeriodicalIF":0.6,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracranial Hypertension following Acute Mesenteric Ischemia: A Case Study on the Multiple Compartment Syndrome. 急性肠系膜缺血后的颅内高血压:多室综合征病例研究。
IF 0.6
International Journal of Angiology Pub Date : 2023-03-09 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1763252
Derek O Pipolo, Sara Guevara, Lana Vasiljevic, Andres E Di Pietrantonio, Walter Brennan, Humberto Asmus, Alexia McCann-Molmenti, Young Min Cho, Koichiro Shinozaki, Kei Hayashida, Yu Okuma, Muhammad Shoaib, Lance B Becker, Mary E Decker, Hermoon A Worku, Petra Majdak, Grace Donzelli, Akash Patel, Sherwin Davoud, Andres Vaca-Zorrilla, Sascha S Beutler, Ernesto P Molmenti, Santiago J Miyara
{"title":"Intracranial Hypertension following Acute Mesenteric Ischemia: A Case Study on the Multiple Compartment Syndrome.","authors":"Derek O Pipolo, Sara Guevara, Lana Vasiljevic, Andres E Di Pietrantonio, Walter Brennan, Humberto Asmus, Alexia McCann-Molmenti, Young Min Cho, Koichiro Shinozaki, Kei Hayashida, Yu Okuma, Muhammad Shoaib, Lance B Becker, Mary E Decker, Hermoon A Worku, Petra Majdak, Grace Donzelli, Akash Patel, Sherwin Davoud, Andres Vaca-Zorrilla, Sascha S Beutler, Ernesto P Molmenti, Santiago J Miyara","doi":"10.1055/s-0043-1763252","DOIUrl":"10.1055/s-0043-1763252","url":null,"abstract":"<p><p>In this case study, we describe a 25-year-old male who was admitted due to a severe traumatic brain injury, requiring invasive intracranial pressure monitoring. At 48 hours posttrauma, he developed intracranial hypertension refractory to medical treatment without tomographic changes in the brain. Subsequently, intra-abdominal hypertension and tomographic signs of abdominal surgical pathology were observed. An exploratory laparotomy was performed with an intraoperative diagnosis of acute mesenteric ischemia. After surgical intervention for the abdominal pathology, intracranial pressure was restored to physiological values with a favorable recovery of the patient. In this report, the relationship between intracranial pressure and intra-abdominal pressure is discussed, highlighting the delicate association between the brain, abdomen, and thorax. Measures should be taken to avoid increases in intra-abdominal pressure in neurocritical patients. When treating intracranial hypertension refractory to conventional measures, abdominal causes and multiple compartment syndrome must be considered. The cranial compartment has physiological interdependence with other body compartments, where one can be modified by variations from another, giving rise to the concept of multiple compartment syndrome. Understanding this relationship is fundamental for a comprehensive approach of the neurocritical patient. To the best of our knowledge, this is the first report of a comatose patient post-traumatic brain injury, who developed medically unresponsive intracranial hypertension secondary to acute mesenteric ischemia, in which surgical resolution of intra-abdominal pathology resulted in intracranial pressure normalization and restitutio ad integrum of neurological status.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 3","pages":"188-192"},"PeriodicalIF":0.6,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infarct Size and Long-Term Clinical Outcomes of Prasugrel versus Clopidogrel in Patients with Acute Coronary Syndrome Undergoing Coronary Artery Stenting: A Prospective Randomized Study. 急性冠脉综合征患者行冠状动脉支架置入术时,普拉格雷与氯吡格雷的梗死面积和长期临床结果:一项前瞻性随机研究
IF 0.6
International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1746417
Takayuki Yabe, Ryota Noike, Ryo Okubo, Hideo Amano, Takanori Ikeda
{"title":"Infarct Size and Long-Term Clinical Outcomes of Prasugrel versus Clopidogrel in Patients with Acute Coronary Syndrome Undergoing Coronary Artery Stenting: A Prospective Randomized Study.","authors":"Takayuki Yabe,&nbsp;Ryota Noike,&nbsp;Ryo Okubo,&nbsp;Hideo Amano,&nbsp;Takanori Ikeda","doi":"10.1055/s-0042-1746417","DOIUrl":"https://doi.org/10.1055/s-0042-1746417","url":null,"abstract":"<p><p>The antiplatelet drug prasugrel inhibits platelet aggregation early after oral administration. This study examined whether prasugrel is effective in inhibiting infarct size and can reduce the incidence of major adverse cardiovascular events (MACE) in patients with acute coronary syndrome (ACS). This study was a single-center, prospective, randomized pilot study. Among 80 ACS patients treated at our institution between August 2014 and September 2015, 76 ACS patients who underwent stenting and achieved thrombolysis in myocardial infarction flow grade 3 were assigned to receive aspirin plus prasugrel (prasugrel group; <i>n</i>  = 37) or aspirin plus clopidogrel (clopidogrel group; <i>n</i>  = 39). The primary endpoint was survival free of MACE. The secondary endpoint was the evaluation of infarct size defined as the area under the curve (AUC) of troponin I, calculated using the linear trapezoidal method. During follow-up (mean, 1262.4 ± 599.6 days), 14 patients showed MACE. No significant differences in CYP2C19 genotype were seen between groups. AUC of troponin I up to 72 hours after intervention tended to be smaller in the prasugrel group (1,927.1 ± 2,189.3 ng/mL) than in the clopidogrel group (3,186.0 ± 3,760.1 ng/mL, <i>p</i>  = 0.08). Cumulative incidence of MACE was significantly higher in the clopidogrel group (log-rank test; <i>p</i>  = 0.02). Compared with clopidogrel, prasugrel was associated with reduced infarct size and lower frequency of long-term outcomes among ACS patients undergoing stenting.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"56-65"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886453/pdf/10-1055-s-0042-1746417.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Percutaneous Transluminal Angioplasty in Chronic Total Subclavian Venous Stenosis Using Coronary Guidewire: A Case Report. 冠脉导丝经皮腔内血管成形术治疗慢性锁骨下静脉狭窄1例。
IF 0.6
International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0041-1735207
Todung D A Silalahi, Christopher S Suwita
{"title":"Percutaneous Transluminal Angioplasty in Chronic Total Subclavian Venous Stenosis Using Coronary Guidewire: A Case Report.","authors":"Todung D A Silalahi,&nbsp;Christopher S Suwita","doi":"10.1055/s-0041-1735207","DOIUrl":"https://doi.org/10.1055/s-0041-1735207","url":null,"abstract":"<p><p>Arteriovenous fistula is the best permanent vascular access for hemodialysis (HD). However, in our country, HD catheter in jugular or subclavian vein is more commonly found because our patients prefer to hold HD until the complications are unbearable. The catheter increases risk of venous stenosis on site and in surrounding vessels, resulting in access loss. Percutaneous transluminal angioplasty (PTA), combined with stent deployment, can be utilized as main treatment for such stenosis in subclavian vein. This method dated back to two decades ago with high success rate. Nevertheless, reports or studies of angioplasty in total occlusion are scarce, mainly because of lower success rate and the need of smaller penetrating wire. We describe our experience in performing PTA and stent deployment using coronary wire to penetrate total occlusion in subclavian venous stenosis after vein cannulation. We hope that we can give an alternative technique to avoid surgery in such cases.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"66-70"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886449/pdf/10-1055-s-0041-1735207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10643428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationship of Plasma Aterogenity Index and Mean Platelet Volume with the Risk of Development of 1-Year Total Major Adverse Cardiac Event in Patients with Non-ST Elevation Myocardial Infarction. 非ST段抬高型心肌梗死患者血浆醛固酮指数和平均血小板体积与1年总重大心脏不良事件发生风险的关系。
IF 0.6
International Journal of Angiology Pub Date : 2023-03-01 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1764223
Agil Allahverdiyev, Irem Muge Akbulut Koyuncu, Busra Kuru, Aytac Allahverdiyeva, Fatih Sinan Ertas
{"title":"The Relationship of Plasma Aterogenity Index and Mean Platelet Volume with the Risk of Development of 1-Year Total Major Adverse Cardiac Event in Patients with Non-ST Elevation Myocardial Infarction.","authors":"Agil Allahverdiyev, Irem Muge Akbulut Koyuncu, Busra Kuru, Aytac Allahverdiyeva, Fatih Sinan Ertas","doi":"10.1055/s-0043-1764223","DOIUrl":"10.1055/s-0043-1764223","url":null,"abstract":"<p><p>In our study, we aimed to reveal the role of plasma atherogenicity index and mean platelet volume in predicting the risk of developing a 1-year major adverse cardiac event (MACE) in patients with non-ST elevation myocardial infarction (NSTEMI). This study, which was planned from the retrospective cross-sectional study model, was performed with 100 patients diagnosed with NSTEMI and scheduled for coronary angiography. The laboratory values of the patients were evaluated, the atherogenicity index of plasma was calculated, and the 1-year MACE status was evaluated. In total, 79 of the patients were male and 21 were female. The average age is 60.8 years. At the end of the first year, the MACE improvement rate was found to be 29%. The PAI value was below 0.11 in 39% of the patients, between 0.11 and 0.21 in 14%, and above 0.21 in 47%. The 1-year MACE development rate was found to be significantly higher in diabetic patients and patients with hyperlipidemia. Lymphocyte count and triglyceride values of the patients in the high-risk group of atherogenic index of plasma (AIP) were found to be higher than the patients in the low-risk group. The neutrophil/lymphocyte, thrombocyte/lymphocyte ratios and high-density lipoprotein values of the patients in the high-risk group of AIP were found to be lower than those in the low-risk group. The rate of MACE development was found to be significantly higher in patients in the high-risk group of AIP ( <i>p</i>  = 0.02). No correlation was found between the mean platelet volume and the MACE development status. While no significant relationship was found between MPV and MACE in NSTEMI patients, AIP, which includes atherogenic parameters, was found to be correlated with MACE.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"81-87"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9852828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Hemodynamic Factors Associated with Low Gradient Severe Rheumatic Mitral Stenosis. 低梯度重度风湿性二尖瓣狭窄的临床和血流动力学因素。
IF 0.6
International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1751231
Amiliana M Soesanto, Dina Roeswita, Indriwanto S Atmosudigdo, Suko Adiarto, Elen Sahara
{"title":"Clinical and Hemodynamic Factors Associated with Low Gradient Severe Rheumatic Mitral Stenosis.","authors":"Amiliana M Soesanto,&nbsp;Dina Roeswita,&nbsp;Indriwanto S Atmosudigdo,&nbsp;Suko Adiarto,&nbsp;Elen Sahara","doi":"10.1055/s-0042-1751231","DOIUrl":"https://doi.org/10.1055/s-0042-1751231","url":null,"abstract":"<p><p>Discrepancy between narrowed mitral valve area and transmitral gradient is not uncommon, suggesting the presence of low gradient (LG)-severe mitral stenosis (MS). Some clinical and hemodynamic factors are believed to associate with LG-severe MS. Transthoracic echocardiography reports were reviewed retrospectively to evaluate the association of all clinical and hemodynamic parameters with LG-severe MS. A 36% of total 322 patients was in the LG-severe MS group. In multivariate analysis, atrial fibrillation (95% confidence interval [CI] 4.60-16.71, odds ratio [OR] 8.77), net atrioventricular compliance > 4 mL/mm Hg (95% CI 3.96-14.25, OR 7.51), tricuspid regurgitation maximal velocity (TR Vmax) > 3.4 m/s (95% CI 0.13-0.48, OR 0.25), stroke volume index ≤ 35 mL/m <sup>2</sup> (95% CI 1.49-6.25, OR 3.05), female gender (95% CI 1.30-5.33, OR 2.63), and severe tricuspid regurgitation (95% CI 1.04-5.50, OR 2.39) were found to be associated with LG-severe MS. Atrial fibrillation, net atrioventricular compliance, TR Vmax, stroke volume index, female gender, and severe TR were associated with low transmitral gradient in patients with severe MS.</p>","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"43-47"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886448/pdf/10-1055-s-0042-1751231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intravascular Lithotripsy in Calcified Peripheral Lesions: Single-Center JEN-Experience. 钙化周围病变的血管内碎石术:单中心jeni -经验。
IF 0.6
International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1751229
Pawel Aftanski, Marcus Thieme, Friederike Klein, P Christian Schulze, Sven Möbius-Winkler, Daniel Kretzschmar
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引用次数: 3
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