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Leveraging Social Determinants of Health to Enhance Recruitment of Underrepresented Populations in Clinical Trials. 利用健康的社会决定因素加强临床试验中代表性不足人群的招募。
Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1447
Sara King, Sophia Trabanino, Zahra Azizi, Fatima Rodriguez
{"title":"Leveraging Social Determinants of Health to Enhance Recruitment of Underrepresented Populations in Clinical Trials.","authors":"Sara King, Sophia Trabanino, Zahra Azizi, Fatima Rodriguez","doi":"10.14797/mdcvj.1447","DOIUrl":"https://doi.org/10.14797/mdcvj.1447","url":null,"abstract":"<p><p>Historically marginalized communities are disproportionately affected by cardiometabolic diseases yet are underrepresented in clinical trials that investigate needed interventions. This review investigates the barriers to equitable inclusion in clinical trials, identifying opportunities for improvement at the institutional, trial, community, and individual level. It proposes a social determinants-based approach that serves as a toolkit to target these barriers using structural, economic, community, healthcare access, and technology solutions, supporting constructive improvement in the clinical trial recruitment process.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"81-88"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630085","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
Food for Thought: Nourishing Cardiovascular Health Amidst the Exposome. 思考的食粮在暴露体中滋养心血管健康。
Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1452
Bassel Daher
{"title":"Food for Thought: Nourishing Cardiovascular Health Amidst the Exposome.","authors":"Bassel Daher","doi":"10.14797/mdcvj.1452","DOIUrl":"https://doi.org/10.14797/mdcvj.1452","url":null,"abstract":"<p><p>The cumulative exposures of an individual during their lifetime, known as the exposome, encompass environmental exposures and lifestyle factors that significantly impact cardiovascular health. The exposome concept aims to provide a comprehensive framework for understanding how various exposures combine to influence disease risk and health outcomes over a lifetime. Diet is a well-studied aspect of the exposome, recognized as a critical contributor to cardiovascular health and influencing various other health metrics and behaviors. Furthermore, understanding agricultural food systems and their interrelationships with dietary choice and impacts on environmental and human health requires a systems approach. Through a review of the literature, this publication will (1) elucidate the interconnections between the exposome and cardiovascular diseases through the lens of agricultural systems and environmental health; (2) examine the effect of diet on cardiovascular health; (3) examine the influence of socioeconomic and cultural factors on the agricultural food system and dietary choices; and (4) highlight the importance of adopting a systems approach that integrates dietary interventions with sustainable agricultural practices, emphasizing the need for holistic strategies to address the root causes of cardiovascular health issues through balanced human and environmental health interventions.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630006","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
Ablation of Focal Atrial Tachycardia from a Large Left Atrial Diverticulum Using 3D Printing. 利用三维打印技术消融左心房大憩室病灶性房性心动过速
Methodist DeBakey cardiovascular journal Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1429
Natee Sirinvaravong, Rachel Fenberg, Kyle K Vankoevering, Megan Malara, Anthony W Salmeron, Saurabh Rajpal, Mahmoud Houmsse
{"title":"Ablation of Focal Atrial Tachycardia from a Large Left Atrial Diverticulum Using 3D Printing.","authors":"Natee Sirinvaravong, Rachel Fenberg, Kyle K Vankoevering, Megan Malara, Anthony W Salmeron, Saurabh Rajpal, Mahmoud Houmsse","doi":"10.14797/mdcvj.1429","DOIUrl":"10.14797/mdcvj.1429","url":null,"abstract":"<p><p>We present a case of a 45-year-old male with symptomatic supraventricular tachycardia. Electrophysiology study and 3-dimensional (3D) electroanatomic mapping showed a focal atrial tachycardia originating from a large left atrial diverticulum. Due to the unusual anatomy, 3D printing models were used to aid successful catheter ablation of the atrial tachycardia.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"98-105"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381934","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
Absence of Right Coronary Ostium with Single Coronary Artery: A Rare Anomaly. 右冠膜缺失伴单冠状动脉：罕见的异常现象
Methodist DeBakey cardiovascular journal Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1458
Ayham Mahmoud, Muhab Saadeh, Moath Said Alfawara, William Ghazi Maaiah, Ammar Al-Awaisheh
{"title":"Absence of Right Coronary Ostium with Single Coronary Artery: A Rare Anomaly.","authors":"Ayham Mahmoud, Muhab Saadeh, Moath Said Alfawara, William Ghazi Maaiah, Ammar Al-Awaisheh","doi":"10.14797/mdcvj.1458","DOIUrl":"10.14797/mdcvj.1458","url":null,"abstract":"<p><p>Coronary arteries normally originate from two separate cusps from the aorta, and various anomalies can occur. One such anomaly is the single coronary artery (SCA), where the coronary arteries originate from a single ostium due to the absence of the contralateral ostia. In a rare case we encountered while evaluating a patient with atypical chest pain, computed tomography angiography revealed that the right ostia was absent, and the right coronary artery originated from the left circumflex artery. This subtype of SCA has been exceedingly rare, with only a few cases reported in the literature.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"94-97"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11428661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355936","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
Internal Carotid Artery Hypoplasia Misidentified as Internal Carotid Artery Dissection. 颈内动脉发育不全误认为颈内动脉夹层
Methodist DeBakey cardiovascular journal Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1417
Esther Collado, Adam Bardoczi, Alan B Lumsden, Zsolt Garami
{"title":"Internal Carotid Artery Hypoplasia Misidentified as Internal Carotid Artery Dissection.","authors":"Esther Collado, Adam Bardoczi, Alan B Lumsden, Zsolt Garami","doi":"10.14797/mdcvj.1417","DOIUrl":"10.14797/mdcvj.1417","url":null,"abstract":"<p><p>Agenesis or hypoplasia of the internal carotid artery (ICA) may easily be confused with dissection or occlusion. We report a case of a 24-year-old female with complaint of acute left-hand hypoesthesia and a history of occasional intermittent numbness of her right hand with myoclonic jerking. Because previous imaging studies over 2 years were interpreted as occlusion of the left ICA secondary to carotid dissection, the treating physician had prescribed anticoagulant therapy. During transcranial Doppler (TCD) examination, the spectral waveform was unexpectedly normal, prompting a repeat review of all imaging due to the TCD results. Magnetic resonance angiography (MRA) revealed the same \"flame-like\" appearance of the ICA origin. Late-phase digital subtraction angiography showed a small caliber cervical ICA (occluded at the skull base). Computed tomography demonstrated absence of the carotid canal, confirming an absent intracranial portion of the ICA and establishing a correct diagnosis of left internal carotid hypoplasia. Vascular ultrasound and TCD examinations are noninvasive and inexpensive tools that can improve the interpretation and understanding of the clinical significance of other \"static\" radiographic tests (MRA, digital subtraction angiography ). An accurate diagnosis is essential to avoid risky, aggressive treatment, such as anticoagulation for an \"absent\" dissection.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156209","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
Surgical Removal of a Migrated WATCHMAN Device. 手术取出移位的 WATCHMAN 设备。
Methodist DeBakey cardiovascular journal Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1414
Andrew G Saleeb, Juan M Farina, Asher Jenkins, Rawan Zeineddine, Kenan Shawwaf, Eric H Yang, Said Alsidawi, Dawn E Jaroszewski, Francis X Downey
{"title":"Surgical Removal of a Migrated WATCHMAN Device.","authors":"Andrew G Saleeb, Juan M Farina, Asher Jenkins, Rawan Zeineddine, Kenan Shawwaf, Eric H Yang, Said Alsidawi, Dawn E Jaroszewski, Francis X Downey","doi":"10.14797/mdcvj.1414","DOIUrl":"10.14797/mdcvj.1414","url":null,"abstract":"<p><p>The WATCHMAN™ atrial appendage closure device is designed to reduce the risk of stroke in patients with nonvalvular atrial fibrillation who are not suitable candidates for long-term oral anticoagulation therapy. However, the device also carries small risks, including procedural complications such as device migration, embolization, or pericardial effusion. We describe a case of WATCHMAN device migration requiring surgical retrieval.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"80-86"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156210","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
Interatrial Septum Assessment by Transthoracic Echocardiography Part 1: Secundum ASD. 经胸超声心动图评估房间隔第 1 部分：非连续性 ASD。
Methodist DeBakey cardiovascular journal Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1456
Alicia Rangosch, Valeria E Duarte, Miguel A Quiñones
{"title":"Interatrial Septum Assessment by Transthoracic Echocardiography Part 1: Secundum ASD.","authors":"Alicia Rangosch, Valeria E Duarte, Miguel A Quiñones","doi":"10.14797/mdcvj.1456","DOIUrl":"https://doi.org/10.14797/mdcvj.1456","url":null,"abstract":"<p><p>This 10-minute video aims at improving skills for the structural assessment of the interatrial septum using 2-dimensional transthoracic echocardiography (TTE) to increase the ability to diagnose-or rule out-the different types of interatrial communications. Of the five types of lesions, this video focuses on ostium secundum atrial septal defect. This is the first video in our MicroLearning Video Series, designed to help a target audience of sonographers, general cardiologists, general practitioners who want to gain knowledge on fundamental cardiology, and technicians. View the video at https://vimeo.com/989145537/4898c3c590.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"77-79"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113043","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
Pulmonary Vein in a Pinch. 肺静脉窘迫
Methodist DeBakey cardiovascular journal Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1439
Muhab Saadeh, Ayham Mahmoud, Mahmoud Ma'aita, Asal Eiadeh, Ayman Hammoudeh, Mousa Saadeh, Moath Said Alfawara
{"title":"Pulmonary Vein in a Pinch.","authors":"Muhab Saadeh, Ayham Mahmoud, Mahmoud Ma'aita, Asal Eiadeh, Ayman Hammoudeh, Mousa Saadeh, Moath Said Alfawara","doi":"10.14797/mdcvj.1439","DOIUrl":"10.14797/mdcvj.1439","url":null,"abstract":"<p><p>The pulmonary veins normally drain into the left atrium, with the superior pulmonary veins typically situated anterior and inferior to the right pulmonary arteries. However, anomalies can happen. We encountered an exceedingly rare pulmonary vascular anomaly for a patient presenting with atypical chest pain, where the right superior pulmonary vein aberrantly ran posterior to the right pulmonary artery (RPA) and became compressed between the RPA and the right main bronchus. Coronary computed tomography angiography identified this specific pulmonary vein anomaly but revealed unremarkable coronary arteries.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"74-76"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113044","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
Unusual Evidence of Fat Embolism in the Subclavian Vein Detected by High-Intensity Transient Signals. 高强度瞬态信号检测到锁骨下静脉脂肪栓塞的异常证据
Methodist DeBakey cardiovascular journal Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1395
Valeria Ortega, Orlando Diaz, Zsolt Garami
{"title":"Unusual Evidence of Fat Embolism in the Subclavian Vein Detected by High-Intensity Transient Signals.","authors":"Valeria Ortega, Orlando Diaz, Zsolt Garami","doi":"10.14797/mdcvj.1395","DOIUrl":"10.14797/mdcvj.1395","url":null,"abstract":"<p><p>Fat emboli may occur in patients after traumatic fractures or orthopedic procedures; however, their clinical detection is a very rare finding. Here, we describe a 77-year-old female who was admitted to the emergency department with a fracture of the right humerus. We diagnosed fat embolism after an ultrasound of the right subclavian vein. The embolism was detected by high-intensity transient signals present on the spectral Doppler. While these signals are well known for microembolization in transcranial Doppler, to our knowledge this is the first case report in the medical literature to observe and describe high-intensity transient signals seen in the upper extremities by spectral Doppler. Although it is unusual to detect a fat embolism in transit, we believe clinicians should be aware of this finding, particularly when evaluating high-risk patients.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"70-73"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113045","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
A Rare Case of Intracardiac Lipoma Arising from the Papillary Muscle. 一个罕见的乳头肌心内脂肪瘤病例
Methodist DeBakey cardiovascular journal Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1423
Mansi Verma, Sushma Makhaik, Alisha Rana, Anupam Jhobta, Priyanka Thakur
{"title":"A Rare Case of Intracardiac Lipoma Arising from the Papillary Muscle.","authors":"Mansi Verma, Sushma Makhaik, Alisha Rana, Anupam Jhobta, Priyanka Thakur","doi":"10.14797/mdcvj.1423","DOIUrl":"10.14797/mdcvj.1423","url":null,"abstract":"<p><p>Transthoracic echocardiography and cardiac magnetic resonance imaging revealed a well-defined globular mass attached to the anterolateral papillary muscle. The mass was hyperintense on T1 and T2 weighted images with suppression of signal on fat saturated and short tau inversion recovery (STIR) images. This imaging established the diagnosis of cardiac lipoma attached to the anterolateral papillary muscle, Papillary muscle is a very rare location of lipoma, which is rarely reported in the literature.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 4","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056770","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
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