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Methodist DeBakey cardiovascular journal最新文献

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Coronary Artery Aneurysms and Acute Coronary Syndrome: An Interventionalist's Dilemma. 冠状动脉动脉瘤与急性冠状动脉综合征：介入专家的两难选择。
Methodist DeBakey cardiovascular journal Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1343
Nauman Khalid, Sundeep Kumar, Preetham Muskula, Haris Muhammad, Tarek Helmy
{"title":"Coronary Artery Aneurysms and Acute Coronary Syndrome: An Interventionalist's Dilemma.","authors":"Nauman Khalid, Sundeep Kumar, Preetham Muskula, Haris Muhammad, Tarek Helmy","doi":"10.14797/mdcvj.1343","DOIUrl":"10.14797/mdcvj.1343","url":null,"abstract":"<p><p>We report three cases of coronary artery aneurysm (CAA) in adults who presented with acute coronary syndrome. Two of these patients did not have traditional coronary artery disease risk factors. Management of CAA poses a significant challenge to interventionalists. We discuss the etiologic mechanisms, risk factors, pathophysiology, and diagnosis using angiography, intravascular ultrasound, and coronary computed tomography. We also highlight management options, including medical therapy and catheter-based interventions such as stenting, coil embolization, stent-assisted coil embolization, and surgical exclusion.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 1","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296933","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 Great Masquerade: Not All Coronary Artery Stenosis Are Created Equal 大伪装：并非所有冠状动脉狭窄都一样
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-20 DOI: 10.14797/mdcvj.1365
P. A. Kotta, Ajit K. Koduri, Jeffrey Berman, Veronica V. Rosen, Waleed T. Kayani
{"title":"The Great Masquerade: Not All Coronary Artery Stenosis Are Created Equal","authors":"P. A. Kotta, Ajit K. Koduri, Jeffrey Berman, Veronica V. Rosen, Waleed T. Kayani","doi":"10.14797/mdcvj.1365","DOIUrl":"https://doi.org/10.14797/mdcvj.1365","url":null,"abstract":"We present the case of a 60-year-old male, with active smoking and cocaine use disorder, who reported progressive chest pain. Various anatomical and functional cardiac imaging, performed to further evaluate chest pain etiology, revealed changing severity and distribution of left main artery (LMA) stenosis, raising suspicion for vasospasm. Intracoronary nitroglycerin relieved the vasospasm, with resolution of the LMA pseudostenosis. A diagnosis of vasospastic angina (VA) led to starting appropriate medical therapy with lifestyle modification counselling. This case highlights VA, a frequently underdiagnosed etiology of angina pectoris. We discuss when to suspect VA, its appropriate work-up, and management.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"46 18","pages":"26 - 32"},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Turbulent Waters 动荡的水域
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1396
Philip A. Alexander
{"title":"Turbulent Waters","authors":"Philip A. Alexander","doi":"10.14797/mdcvj.1396","DOIUrl":"https://doi.org/10.14797/mdcvj.1396","url":null,"abstract":"Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches—including an official White House portrait of President Ronald Reagan—to the computer-generated drawings featured in this journal. His images, which first appeared in this journal in the spring of 2012, are his own original creations. If you would like to see your art published in the Methodist DeBakey Cardiovascular Journal, submit your creation online at journal.houstonmethodist.org as a “Humanities” entry.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"30 25","pages":"72 - 73"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140966378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anticoagulation Management Post Pulmonary Embolism 肺栓塞后的抗凝管理
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1338
Joseph J. Naoum
{"title":"Anticoagulation Management Post Pulmonary Embolism","authors":"Joseph J. Naoum","doi":"10.14797/mdcvj.1338","DOIUrl":"https://doi.org/10.14797/mdcvj.1338","url":null,"abstract":"Pulmonary embolus (PE) carries a significant impending morbidity and mortality, especially in intermediate and high-risk patients, and the choice of initial anticoagulation that allows for therapeutic adjustment or manipulation is important. The preferred choice of anticoagulation management includes direct oral anticoagulants. Vitamin K antagonists and low-molecular-weight heparin are preferred in special populations or selected patients such as breastfeeding mothers, those with end-stage renal disease, or obese patients, among others. This article reviews the primary and longer-term considerations for anticoagulation management in patients with PE and highlights special patient populations and risk factor considerations.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"33 12","pages":"27 - 35"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140966339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary Embolism and Cardiovascular Care: Revolutionary Advances for the Decade Ahead 肺栓塞与心血管护理：未来十年的革命性进步
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1398
Thomas M. Loh, Alan B. Lumsden
{"title":"Pulmonary Embolism and Cardiovascular Care: Revolutionary Advances for the Decade Ahead","authors":"Thomas M. Loh, Alan B. Lumsden","doi":"10.14797/mdcvj.1398","DOIUrl":"https://doi.org/10.14797/mdcvj.1398","url":null,"abstract":"Introductory overview for Methodist DeBakey Cardiovascular Journal Issue 20.3 on Pulmonary Embolism, written by the issues’ guest editors.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"66 5","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140968152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intervention Versus Medical Management of Pulmonary Embolism 肺栓塞的干预与药物治疗
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1351
Thomas M. Loh
{"title":"Intervention Versus Medical Management of Pulmonary Embolism","authors":"Thomas M. Loh","doi":"10.14797/mdcvj.1351","DOIUrl":"https://doi.org/10.14797/mdcvj.1351","url":null,"abstract":"With a multitude of options for pulmonary embolism management, we review the most common diagnostic tools available for assessing risk as well as how each broad risk category is typically treated. Right heart dysfunction is the cornerstone for triage of these patients and should be the focus for decision-making, especially in challenging patients. We aim to provide a modern, clinical perspective for PE management in light of the multitude of intervention options.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"55 28","pages":"13 - 18"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140970494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary Embolism Triage: When to Do What 肺栓塞分诊：何时该做什么
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1394
Kathryn M. Donovan
{"title":"Pulmonary Embolism Triage: When to Do What","authors":"Kathryn M. Donovan","doi":"10.14797/mdcvj.1394","DOIUrl":"https://doi.org/10.14797/mdcvj.1394","url":null,"abstract":"Anticoagulation has been the standard therapy for treating pulmonary embolism. However, newly developed pharmacological and interventional treatment options have been shown to provide benefit for certain patient populations, depending on how they present. This column highlights the use of massive pulmonary embolism risk stratification in determining the presence of cor pulmonale and offers several key points to remember when caring for patients with a pulmonary embolism.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"39 1","pages":"65 - 67"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140968425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Diagnostic Tools for Pulmonary Embolism Detection 肺栓塞检测的新诊断工具
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1342
Jacob Shapiro, Adam Reichard, Patrick E. Muck
{"title":"New Diagnostic Tools for Pulmonary Embolism Detection","authors":"Jacob Shapiro, Adam Reichard, Patrick E. Muck","doi":"10.14797/mdcvj.1342","DOIUrl":"https://doi.org/10.14797/mdcvj.1342","url":null,"abstract":"The presentation of pulmonary embolism (PE) varies from asymptomatic to life-threatening, and management involves multiple specialists. Timely diagnosis of PE is based on clinical presentation, D-dimer testing, and computed tomography pulmonary angiogram (CTPA), and assessment by a Pulmonary Embolism Response Team (PERT) is critical to management. Artificial intelligence (AI) technology plays a key role in the PE workflow with automated detection and flagging of suspected PE in CTPA imaging. HIPAA-compliant communication features of mobile and web-based applications may facilitate PERT workflow with immediate access to imaging, team activation, and real-time information sharing and collaboration. In this review, we describe contemporary diagnostic tools, specifically AI, that are important in the triage and diagnosis of PE.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"43 14","pages":"5 - 12"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140969566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bruegel’s Landscape with the Fall of Icarus 勃鲁盖尔的《伊卡洛斯坠落的风景画
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1377
J. C. Cordova, James B. Young
{"title":"Bruegel’s Landscape with the Fall of Icarus","authors":"J. C. Cordova, James B. Young","doi":"10.14797/mdcvj.1377","DOIUrl":"https://doi.org/10.14797/mdcvj.1377","url":null,"abstract":"Ovid’s Metamorphoses tells the story of Icarus – his tragic flight with man-made wings, the melting of the wax that bound them, and the ensuing fall to his death. This moment has been immortalized across the arts and through several mediums, but none are more notable than Bruegel’s Landscape with the Fall of Icarus. Described as a “painter for poets,” Bruegel’s work served as inspiration for several writers, with this piece in particular providing the basis for ekphrastic poems by W.H. Auden and William Carlos Williams. Though each of these works has a different focus, the unifying theme is that human tragedy is too often placed on the periphery of notice. They are effective reminders to physicians and other healthcare providers about the human aspect of suffering and pain in medicine.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"45 21","pages":"68 - 71"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140970505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inferior Vena Cava Filters: An Overview 下腔静脉过滤器：概述
Methodist DeBakey cardiovascular journal Pub Date : 2024-05-16 DOI: 10.14797/mdcvj.1346
Paul Haddad, Jasmine Peng, Madeline Drake, Maham Rahimi
{"title":"Inferior Vena Cava Filters: An Overview","authors":"Paul Haddad, Jasmine Peng, Madeline Drake, Maham Rahimi","doi":"10.14797/mdcvj.1346","DOIUrl":"https://doi.org/10.14797/mdcvj.1346","url":null,"abstract":"For patients with existing venous thromboembolisms (VTEs), anticoagulation remains the standard of care recommended across multiple professional organizations. However, for patients who developed a deep venous thrombosis (DVT) and/or a pulmonary embolism and cannot tolerate anticoagulation, inferior vena cava (IVC) filters must be considered among other alternative treatments. Although placement of a filter is considered a low-risk intervention, there are important factors and techniques that surgeons and interventionalists should be aware of and prepared to discuss. This overview covers the basics regarding the history of filters, indications for placement, associated risks, and techniques for difficult removal.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"6 9","pages":"49 - 56"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140970042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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