Texas Heart Institute Journal最新文献

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Critical Care Echocardiography-A Driven Approach to Undifferentiated Shock. 危重症超声心动图——一种治疗未分化休克的驱动方法。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-16 DOI: 10.14503/THIJ-22-8075
Pedro Salinas, Jacqueline Sohn, José L Díaz-Gómez
{"title":"Critical Care Echocardiography-A Driven Approach to Undifferentiated Shock.","authors":"Pedro Salinas, Jacqueline Sohn, José L Díaz-Gómez","doi":"10.14503/THIJ-22-8075","DOIUrl":"10.14503/THIJ-22-8075","url":null,"abstract":"<p><p>The clinical approach to undifferentiated shock in critically ill patients should be revised to use modern, point-of-care tools that are readily available. With the increasing availability of 2-dimensional ultrasonography and advanced Doppler capabilities, a quick, simplified, and integrated stepwise approach to shock using critical care echocardiography is proposed. Evidence supports the feasibility and usefulness of critical care echo-cardiography in enhancing diagnostic accuracy for shock, but there is a lack of systematic application of the technology in patients with undifferentiated shock. The proposed approach begins with the use of noninvasive ultrasonography with pulsed-wave Doppler capability to determine the flow state by measuring the velocity time integral of the left ventricular outflow tract. This narrative review explores the use left ventricular outflow tract velocity time integral, velocity time integral variation, limited visceral organ Doppler, and lung ultrasonography as a systematic approach for patients with undifferentiated shock.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
External Iliac Artery Dissection Described on Duplex Ultrasonography. 双功能超声对髂外动脉夹层的描述。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-16 DOI: 10.14503/THIJ-23-8224
Shannon M McDonnell, Pegge M Halandras, Robert S Dieter
{"title":"External Iliac Artery Dissection Described on Duplex Ultrasonography.","authors":"Shannon M McDonnell, Pegge M Halandras, Robert S Dieter","doi":"10.14503/THIJ-23-8224","DOIUrl":"10.14503/THIJ-23-8224","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polyploidy in Cardiomyocytes: Machine Learning for Single Cell Analyses. 心肌细胞的多倍性:用于单细胞分析的机器学习。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-16 DOI: 10.14503/THIJ-23-8246
Jeremy Scott Mitchell, Mark Alan Sussman
{"title":"Polyploidy in Cardiomyocytes: Machine Learning for Single Cell Analyses.","authors":"Jeremy Scott Mitchell, Mark Alan Sussman","doi":"10.14503/THIJ-23-8246","DOIUrl":"10.14503/THIJ-23-8246","url":null,"abstract":"powers population-based studies of polyploidy, paving the way for advanced explorations of ploidy dynamics in myocardial biology. This methodology will be used to reevaluate ploidy response to myocardial injury, repair, and regeneration.","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Memoriam: Paolo Angelini (1941-2023)-A Pioneer and World-Leading Expert in Coronary Artery Anomalies. A Tribute From the International Coronary Artery Anomalies Collaborative (ICAAC). 纪念:保罗·安吉里尼(1941-2023)-冠状动脉异常的先驱和世界领先专家。来自国际冠状动脉异常协作组织(ICAAC)的致敬。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-12 DOI: 10.14503/THIJ-23-8311
Christoph Gräni, Carlos M Mery, Silvana Molossi
{"title":"In Memoriam: Paolo Angelini (1941-2023)-A Pioneer and World-Leading Expert in Coronary Artery Anomalies. A Tribute From the International Coronary Artery Anomalies Collaborative (ICAAC).","authors":"Christoph Gräni,&nbsp;Carlos M Mery,&nbsp;Silvana Molossi","doi":"10.14503/THIJ-23-8311","DOIUrl":"10.14503/THIJ-23-8311","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216708","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}
引用次数: 0
Repeated Intravenous Administration of Mesenchymal Stromal Cells Produces Cumulative Beneficial Effects in Chronic Ischemic Cardiomyopathy. 反复静脉注射间充质基质细胞对慢性缺血性心肌病产生累积的有益作用。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-12 DOI: 10.14503/THIJ-23-8244
Xian-Liang Tang, Roberto Bolli
{"title":"Repeated Intravenous Administration of Mesenchymal Stromal Cells Produces Cumulative Beneficial Effects in Chronic Ischemic Cardiomyopathy.","authors":"Xian-Liang Tang, Roberto Bolli","doi":"10.14503/THIJ-23-8244","DOIUrl":"10.14503/THIJ-23-8244","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Delivery of Embryonic Cells and Products. 胚胎细胞和产品的外科递送。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-10 DOI: 10.14503/THIJ-23-8263
Philippe Menasché
{"title":"Surgical Delivery of Embryonic Cells and Products.","authors":"Philippe Menasché","doi":"10.14503/THIJ-23-8263","DOIUrl":"10.14503/THIJ-23-8263","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation. 巨大未破裂左窦主动脉瘤合并严重主动脉反流的外科治疗。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-10 DOI: 10.14503/THIJ-23-8134
Keisuke Ozawa, Kenji Kuwaki, Hidekazu Furuya, Masaomi Yamaguchi, Akiyoshi Yamamoto
{"title":"Surgical Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation.","authors":"Keisuke Ozawa, Kenji Kuwaki, Hidekazu Furuya, Masaomi Yamaguchi, Akiyoshi Yamamoto","doi":"10.14503/THIJ-23-8134","DOIUrl":"10.14503/THIJ-23-8134","url":null,"abstract":"<p><p>Left sinus of Valsalva aneurysms are extremely rare. Concomitant aortic valve regurgitation is a comorbidity in this pathology. This case report summarizes successful surgical treatment with aortic root replacement with a modified Bentall procedure in a 49-year-old female patient who had an unruptured huge left sinus of Valsalva aneurysm with severe aortic valve regurgitation. The intraoperative assessment showed severe adhesion between the left main trunk of the coronary artery and the left sinus of Valsalva aneurysm, and meticulous adhesion detachment was required.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery. 胸腔内血管主动脉修补术与锁骨下血管再通术治疗症状性非动脉瘤性右侧锁骨下动脉畸形。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2022-07-01 DOI: 10.14503/THIJ-20-7489
Yuki Nakamura, Shusuke Imaoka, Takuya Yamakura, Taro Yamasumi, Haruhiko Kondoh
{"title":"Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery.","authors":"Yuki Nakamura, Shusuke Imaoka, Takuya Yamakura, Taro Yamasumi, Haruhiko Kondoh","doi":"10.14503/THIJ-20-7489","DOIUrl":"10.14503/THIJ-20-7489","url":null,"abstract":"<p><p>Aberrant right subclavian artery is a common aortic arch anomaly that can cause dysphagia as a result of compression by the aberrant artery. For patients with an aneurysm associated with an aberrant right subclavian artery, surgical or endovascular intervention is a well-described treatment. However, for patients with a nonaneurysmal aberrant right subclavian artery, treatment with thoracic endovascular aortic repair has been limited. We describe the use of thoracic endovascular aortic repair and subclavian revascularization to treat esophageal stricture in a patient with a symptomatic nonaneurysmal aberrant right subclavian artery. The patient's dysphagia was successfully relieved after the operation.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"49 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427065/pdf/i1526-6702-49-4-e207489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33439829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanical Circulatory Support to Treat Pulmonary Embolism: Venoarterial Extracorporeal Membrane Oxygenation and Right Ventricular Assist Devices. 机械循环支持治疗肺栓塞:静脉体外膜氧合和右室辅助装置。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-19-7025
Aneil Bhalla, Robert Attaran
{"title":"Mechanical Circulatory Support to Treat Pulmonary Embolism: Venoarterial Extracorporeal Membrane Oxygenation and Right Ventricular Assist Devices.","authors":"Aneil Bhalla,&nbsp;Robert Attaran","doi":"10.14503/THIJ-19-7025","DOIUrl":"https://doi.org/10.14503/THIJ-19-7025","url":null,"abstract":"<p><p>Mechanical circulatory support may help patients with massive pulmonary embolism who are not candidates for systemic thrombolysis, pulmonary embolectomy, or catheter-directed therapy, or in whom these established interventions have failed. Little published literature covers this topic, which led us to compare outcomes of patients whose massive pulmonary embolism was managed with the use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) or a right ventricular assist device (RVAD). We searched the medical literature from January 1990 through September 2018 for reports of adults hospitalized for massive or high-risk pulmonary embolism complicated by hemodynamic instability, and who underwent VA-ECMO therapy or RVAD placement. Primary outcomes included weaning from mechanical circulatory support and discharge from the hospital. We found 16 reports that included 181 patients (164 VA-ECMO and 17 RVAD). All RVAD recipients were successfully weaned from support, as were 122 (74%) of the VA-ECMO patients. Sixteen (94%) of the RVAD patients were discharged from the hospital, as were 120 (73%) of the VA-ECMO patients. Of note, the 8 RVAD patients who had an Impella RP System were all weaned and discharged. For patients with massive pulmonary embolism who are not candidates for conventional interventions or whose conditions are refractory, mechanical circulatory support in the form of RVAD placement or ECMO may be considered. Larger comparative studies are needed.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"202-206"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529065/pdf/i1526-6702-47-3-202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38437800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Surgical Endoepicardial Linear Ablation for Ventricular Tachycardia With Postinfarction Left Ventricular Aneurysm. 心外膜内线性消融术治疗室性心动过速伴梗死后左室动脉瘤。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-18-6615
Changcheng Liu, Zhaoping Su, Liangshan Wang, Bo Li, Jin Wang, Yang Yu, Chengxiong Gu
{"title":"Surgical Endoepicardial Linear Ablation for Ventricular Tachycardia With Postinfarction Left Ventricular Aneurysm.","authors":"Changcheng Liu,&nbsp;Zhaoping Su,&nbsp;Liangshan Wang,&nbsp;Bo Li,&nbsp;Jin Wang,&nbsp;Yang Yu,&nbsp;Chengxiong Gu","doi":"10.14503/THIJ-18-6615","DOIUrl":"https://doi.org/10.14503/THIJ-18-6615","url":null,"abstract":"<p><p>This retrospective study evaluated the feasibility of surgical endoepicardial linear ablation for ventricular tachycardia in patients with postinfarction left ventricular aneurysm. Sixty-four patients with multivessel coronary artery disease and left ventricular aneurysm but no mural thrombosis of the aneurysm or valve disease were treated at our institution from March 2012 through July 2015. All underwent off-pump coronary artery bypass grafting and left ventricular aneurysm repair by linear plication. Twenty-three patients (35.9%) had ventricular tachycardia and underwent surgical endoepicardial linear ablation on the beating heart guided by epicardial substrate mapping with the Carto 3 system. The remaining 41 patients (64.1%) composed the no-ablation group. The effectiveness of surgical linear ablation in the ablation group was evaluated. Safety and clinical outcomes were evaluated and compared between the groups. The ventricular tachycardia recurrence rate in the ablation group was 17.4% in the immediate postoperative period and 23.8% at last follow-up (39 ± 21 mo). Early (<30-d) mortality rates were 8.7% in the ablation group and 4.9% in the no-ablation group (P=0.41); the respective late mortality rates were 19.1% and 18% (P=0.70). Multivariate Cox regression analysis indicated that preoperatively poor left ventricular function was an independent risk factor for early and late death in both groups. The groups were similar in terms of the need for postoperative mechanical circulatory support, intensive care unit stay, and cumulative survival rate. We conclude that, for carefully selected candidates, surgical endoepicardial linear ablation combined with off-pump coronary artery bypass grafting and left ventricular aneurysm linear plication is a feasible treatment for ventricular tachycardia with postinfarction left ventricular aneurysm.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"194-201"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529068/pdf/i1526-6702-47-3-194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38534953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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