Methodist DeBakey cardiovascular journal最新文献

Diagnostic Enigma of Blurring Vision and Apparent Shock. 视力模糊和明显休克的诊断难题。

Methodist DeBakey cardiovascular journal Pub Date : 2025-09-15 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1491

Muralidhar Naik, Ramachandran Padmakumar

引用次数: 0

Primary Idiopathic Chylopericardium in an Adult Female. 成年女性原发性特发性乳糜心包。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1660

Abdul Azeez Asad Mohammed, Hafsah Ali, Shaikh Swalehin Bux, Prashant Prabhakar, Abid Hussain, Waleed Dita

{"title":"Primary Idiopathic Chylopericardium in an Adult Female.","authors":"Abdul Azeez Asad Mohammed, Hafsah Ali, Shaikh Swalehin Bux, Prashant Prabhakar, Abid Hussain, Waleed Dita","doi":"10.14797/mdcvj.1660","DOIUrl":"https://doi.org/10.14797/mdcvj.1660","url":null,"abstract":"Chylopericardium (CP), defined as the accumulation of chyle in the pericardial cavity, is a rare condition, especially in the absence of an identifiable secondary cause. Primary idiopathic chylopericardium (PIC) is even more uncommon, with limited cases reported in the literature. We report the case of a 43-year-old South Asian woman who presented with palpitations and fatigue. Echocardiography revealed a large pericardial effusion with signs of cardiac tamponade, necessitating emergent pericardiocentesis. The pericardial fluid aspirated was pinkish and turbid, which turned to milky white after centrifugation. Analysis of the pericardial fluid demonstrated a high triglyceride concentration, lymphocytic predominance, and fat globules, consistent with chylous effusion. A thorough diagnostic workup-including infectious, rheumatologic, and oncologic evaluations-was unrevealing, confirming a diagnosis of PIC. Lymphoscintigraphy was misleading in this case, with no thoracic duct abnormalities reported. Following an initial response to conservative management with pericardiocentesis and a medium-chain triglyceride-rich diet, the patient experienced recurrence of symptoms and fluid reaccumulation. Definitive management via thoracic duct ligation and pericardial window surgery was performed, resulting in complete resolution of the effusion. At 6-month follow-up, the patient remained asymptomatic with no evidence of recurrence. This case highlights the importance of considering primary CP in the differential diagnosis of pericardial effusion. Absence of classical inflammatory signs and symptoms can be suggestive of chylous effusion. The report also supports surgical intervention as a definitive treatment even if lymphoscintigraphy does not reveal clear thoracic duct pathology.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"84-89"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973102","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

Kommerell's Diverticulum Masquerading in a Right Aortic Arch: A Vascular Surprise. Kommerell憩室伪装成右主动脉弓：一个血管意外。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1641

Sana Irshad, Parth Adrejiya, Mohammad Abubaker, James Whitaker

{"title":"Kommerell's Diverticulum Masquerading in a Right Aortic Arch: A Vascular Surprise.","authors":"Sana Irshad, Parth Adrejiya, Mohammad Abubaker, James Whitaker","doi":"10.14797/mdcvj.1641","DOIUrl":"https://doi.org/10.14797/mdcvj.1641","url":null,"abstract":"Kommerell's diverticulum (KD) is a rare vascular anomaly characterized by aneurysmal dilation of the descending aorta at the origin of an aberrant subclavian artery, which can occur in either a right- or left-sided aortic arch. Aberrant right subclavian arteries are found in approximately 0.5% to 2% of the population while aberrant left subclavian arteries are less common, occurring in only 0.04% to 0.4%. KD is associated with aberrant subclavian arteries in 60% to 82% of cases. It is often identified incidentally during imaging studies performed for unrelated reasons, which contributes to the limited understanding of its natural progression. However, KD carries significant risks, including a 53% chance of aneurysm rupture and a 19% incidence of aortic dissection. As a result, surgical management is generally recommended. Although no standardized treatment exists, options include thoracic endovascular aortic repair, hybrid procedures, and open repair. Intervention is typically advised when the orifice diameter exceeds 3 cm and depth exceeds 5 cm due to elevated rupture risk. We present a case of incidentally detected KD originating from a right aortic arch with an aberrant left subclavian artery.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"81-83"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973025","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

Lehigh Valley Procedure: Combined Pulmonary Vein Isolation and Accessory Pathway Ablation for Atrial Fibrillation in Wolff-Parkinson-White Syndrome. Lehigh Valley手术：联合肺静脉隔离和辅助通路消融治疗wolf - parkinson - white综合征心房颤动。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1618

Muhammad Salman Sabri, Lawrence Benedict, Dylan Souder, Lukas Kaugars, Kunal Patel, Babak Bozorgnia, Talha Nazir

{"title":"Lehigh Valley Procedure: Combined Pulmonary Vein Isolation and Accessory Pathway Ablation for Atrial Fibrillation in Wolff-Parkinson-White Syndrome.","authors":"Muhammad Salman Sabri, Lawrence Benedict, Dylan Souder, Lukas Kaugars, Kunal Patel, Babak Bozorgnia, Talha Nazir","doi":"10.14797/mdcvj.1618","DOIUrl":"https://doi.org/10.14797/mdcvj.1618","url":null,"abstract":"Wolff-Parkinson-White (WPW) syndrome is a congenital condition characterized by the presence of an accessory pathway (AP) that can lead to tachyarrhythmias such as atrial fibrillation (AF). Patients with WPW are at an increased risk of developing AF, with a prevalence of up to 30%. Despite successful ablation of the AP, AF recurrence remains a challenge, particularly in older patients or those with a history of AF. Concomitant pulmonary vein isolation (PVI) may help reduce the risk of recurrence by targeting atrial remodeling and pulmonary vein involvement in AF. This case describes a 70-year-old male with WPW and AF who underwent a combined PVI and AP ablation procedure. The patient remained free of AF post-procedure, suggesting that this approach may be effective in high-risk patients. Further randomized controlled trials are necessary to evaluate the efficacy of this combined approach in reducing AF recurrence compared to AP ablation alone, especially in older patients.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"74-80"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972951","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

Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update. 接受非心脏手术的心血管危险因素患者的术前诊断评估：2025年更新

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1629

Nikitha M Murthy, Thomas T Yoo, Alyssa Sanchez, Mayur Chhitu, Dmitry Abramov, Jason Gatling, Mamas A Mamas, Purvi Parwani

{"title":"Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update.","authors":"Nikitha M Murthy, Thomas T Yoo, Alyssa Sanchez, Mayur Chhitu, Dmitry Abramov, Jason Gatling, Mamas A Mamas, Purvi Parwani","doi":"10.14797/mdcvj.1629","DOIUrl":"10.14797/mdcvj.1629","url":null,"abstract":"Despite medical advances and increased perioperative testing, mortality and cardiovascular complications of noncardiac surgery (NCS) have hardly declined since the early 2000s. Studies demonstrate a disproportionate overutilization of preoperative diagnostic testing with a concurrent underutilization of interventions that have been shown to meaningfully modify mortality. Consequently, there has been a paradigm shift in the approach to perioperative testing. Current thinking advocates for a more judicious and individualized approach-that is, reserving noninvasive testing for select cases at highest risk of periprocedural cardiovascular events, where it may more effectively alter management. Thus, this review provides an update of the latest evidence-based recommendations on preoperative diagnostic assessment of patients with cardiovascular risk factors undergoing NCS, proposes a framework that can be referenced when approaching such a patient in clinical practice, and highlights areas that need more data to guide decision-making in clinical practice.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 4","pages":"87-100"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875781","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

Radiation-Induced Coronary Artery Disease. 辐射诱发的冠状动脉疾病

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1661

Mohamad B Taha

引用次数: 0

The Single Coronary Artery: A Rare Anatomic Variant. 单一冠状动脉：一种罕见的解剖变异。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1623

Kendi Burnette-Phelps, Lydia S Sohn, Anjali Bhardwaj, Vaibhav Sharma, Mangesh Kritya, Akshat Sahai, Shariq Shamim

引用次数: 0

Cardiovascular Health During Menopause Transition: The Role of Traditional and Nontraditional Risk Factors. 绝经过渡期的心血管健康：传统和非传统危险因素的作用

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1619

Samuel Yousefzai, Zahir Amin, Huzaifa Faizan, Maheen Ali, Suha Soni, Michael Friedman, Abeera Kazmi, Faith Elise Metlock, Garima Sharma, Zulqarnain Javed

{"title":"Cardiovascular Health During Menopause Transition: The Role of Traditional and Nontraditional Risk Factors.","authors":"Samuel Yousefzai, Zahir Amin, Huzaifa Faizan, Maheen Ali, Suha Soni, Michael Friedman, Abeera Kazmi, Faith Elise Metlock, Garima Sharma, Zulqarnain Javed","doi":"10.14797/mdcvj.1619","DOIUrl":"10.14797/mdcvj.1619","url":null,"abstract":"Perimenopause, or menopause transition (MT), is a critical life stage that encompasses significant physiological, emotional, and psychosocial changes that impact women's cardiovascular health and quality of life. The decline in estrogen during MT induces adverse metabolic changes that increase the risk of dyslipidemia, obesity, insulin resistance, atherogenesis, and poor downstream outcomes such as diabetes, hypertension, stroke, and other adverse changes. Concurrently, stress plays an important role in shaping overall cardiovascular well-being during MT and long-term heart health post-menopause. In addition, nontraditional risk factors-particularly social determinants of health (SDoH) such as economic well-being, access to health care, built environment, social support, and others-are key upstream determinants of cardiovascular disease in women during perimenopause. Coordinated efforts are needed to screen, identify, and address the primary SDoH for optimal heart health in the clinically vulnerable MT patient population. Patient-centered care pathways that focus on assessing social needs and connecting socially vulnerable patients with available community resources are much needed for holistically addressing patient needs. Community-centered efforts are key to addressing persistent inequities in women's cardiovascular health via navigation and connection to community resources that may help address SDoH barriers.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 4","pages":"121-128"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875771","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

Methamphetamine's Devastating Scourge. 甲基苯丙胺的毁灭性灾难。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1568

Samra Iqbal, Justin C Cordova, James B Young

{"title":"Methamphetamine's Devastating Scourge.","authors":"Samra Iqbal, Justin C Cordova, James B Young","doi":"10.14797/mdcvj.1568","DOIUrl":"10.14797/mdcvj.1568","url":null,"abstract":"This edition of Poet's Pen focuses on a rare but catastrophic complication associated with methamphetamine, the use of which is progressively rising in certain parts of the country. The featured poem, \"The Pulse of a Silent Killer,\" shows the utility of poetry to sound the alarm amidst an emergency, alerting the medical community that all may not be as it seems. According to its author, the piece \"reflects the rising crisis of methamphetamine-induced cardiomyopathy among young adults in Texas. This devastating condition, often overlooked, strikes with increasing frequency, leaving young lives cut short and communities shattered. The poem captures the silent but powerful toll of the epidemic and offers both a mournful reflection on lives lost and a call to action for those in the medical field to rise to the challenge of prevention and care. The painful panoply of substance abuse is one that captures many, and methamphetamine is but one of several illicit drugs that have become attractive to use. It is highly addictive, being abused largely on account of the stimulant effects that seem to be uniquely attractive to younger users. Though the euphoric effects of methamphetamine are short-lived, its long-term implications-including the cardiomyopathy associated with its use-can be challenging to diagnose, difficult to treat, and quickly result in disastrously permanent consequences.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 4","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875779","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

CAD at the Intersection of Cardiology and Rheumatology: Focus on Cardiovascular Imaging. CAD在心脏病学和风湿病学的交叉点：关注心血管成像。

Methodist DeBakey cardiovascular journal Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1646

Kenneth Wade Williams, Helene DiGregorio, Deepak Jagannath, Attila Feher

引用次数: 0