Texas Heart Institute Journal最新文献

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Follow-Up Report of Patients With Moderate Aortic Valve Regurgitation After Cardiac Surgery. 心脏手术后中度主动脉瓣反流患者的随访报告
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-11-13 eCollection Date: 2024-07-01 DOI: 10.14503/THIJ-23-8273
Arezou Zoroufian, Arya Afrooghe, Manouchehr Ziafat, Arash Jalali, Mohammadreza Babaei, Pooria Ahmadi, Hakimeh Sadeghian
{"title":"Follow-Up Report of Patients With Moderate Aortic Valve Regurgitation After Cardiac Surgery.","authors":"Arezou Zoroufian, Arya Afrooghe, Manouchehr Ziafat, Arash Jalali, Mohammadreza Babaei, Pooria Ahmadi, Hakimeh Sadeghian","doi":"10.14503/THIJ-23-8273","DOIUrl":"10.14503/THIJ-23-8273","url":null,"abstract":"<p><strong>Background: </strong>The appropriateness of aortic valve surgery for patients with moderate aortic valve regurgitation undergoing coronary artery bypass graft (CABG), mitral valve replacement (MVR), or both is uncertain. This study aimed to investigate the outcomes of moderate aortic valve regurgitation following these procedures.</p><p><strong>Methods: </strong>This retrospective cohort study included 113 eligible participants with moderate aortic valve regurgitation who underwent CABG, MVR, or both procedures between January 2014 and January 2015 at Tehran Heart Center. Echocardiographic index data were extracted from the Tehran Heart Center data center after a 2-year follow-up to examine changes in the patients' conditions.</p><p><strong>Results: </strong>A total of 113 patients (mean [SD] age, 64.7 [9.9] years; 78 [69.0%] female patients) were included in the study and followed up for a mean (SD) of 24 (6) months. Among those patients, 38 (33.6%) experienced improvement, with their aortic valve regurgitation downgraded to mild, while the remaining 75 (66.4%) patients maintained a moderate aortic valve regurgitation level. Notably, combined CABG and MVR procedures were associated with statistically significant improvement, with all cases downgraded to mild aortic valve regurgitation. Baseline characteristics, including diabetes, hypertension, dyslipidemia, smoking, family history of aortic valve regurgitation, and a history of drug use, did not differ statistically significantly between patients with improved aortic valve regurgitation and patients with no changes. Echocardiographic indices related to the aorta, such as aortic valve pressure gradient, showed improvement (<i>P</i> < .001), and ejection fractions before and after surgery remained comparable. Changes in aortic valve regurgitation severity were found to differ statistically significantly between the various procedures (<i>P</i> = .001).</p><p><strong>Conclusion: </strong>These findings suggest that it is not likely that moderate aortic valve regurgitation will progress after CABG or MVR. Hence, no support was found for concurrent aortic valve replacement during these procedures.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":"e238273"},"PeriodicalIF":0.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630770","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
Successful Management of Myval Transcatheter Heart Valve Embolization Into Abdominal Aortic Aneurysm During Transcatheter Aortic Valve Replacement. 在经导管主动脉瓣置换术中成功处理 Myval 经导管心脏瓣膜栓塞进入腹主动脉瘤。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-11-05 DOI: 10.14503/THIJ-22-7997
Artemio García-Escobar, Guillermo Galeote, Alfonso Jurado-Román, Santiago Jiménez-Valero, José Ángel Cabrera, Raúl Moreno
{"title":"Successful Management of Myval Transcatheter Heart Valve Embolization Into Abdominal Aortic Aneurysm During Transcatheter Aortic Valve Replacement.","authors":"Artemio García-Escobar, Guillermo Galeote, Alfonso Jurado-Román, Santiago Jiménez-Valero, José Ángel Cabrera, Raúl Moreno","doi":"10.14503/THIJ-22-7997","DOIUrl":"10.14503/THIJ-22-7997","url":null,"abstract":"<p><p>Transcatheter heart valve embolization is a serious and rare complication of transcatheter aortic valve replacement. Having a strategy for promptly managing transcatheter heart valve embolization is crucial to avoid emergency conversion from transcatheter aortic valve replacement to open-heart surgery. Many cases of transcatheter heart valve embolization occurring with balloon-expandable prostheses such as the SAPIEN 3 (Edwards LifeSciences Corporation) valve and self-expandable prostheses such as the ACURATE neo (Boston Scientific Corporation) valve have been reported in the literature. Here, for the first time (to the authors' knowledge), the case of a Myval (Meril Life Sciences Pvt Ltd) transcatheter heart valve embolization during transcatheter aortic valve replacement, which was treated percutaneously with favorable outcomes, is reported.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576633","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 Repair of Postinfarction Left Ventricular Pseudoaneurysm. 梗死后左心室假性动脉瘤的手术修复。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-10-01 DOI: 10.14503/THIJ-24-8405
Soon Jin Kim, Kyung Hwa Kim, Jong Hun Kim, Tae Yun Kim
{"title":"Surgical Repair of Postinfarction Left Ventricular Pseudoaneurysm.","authors":"Soon Jin Kim, Kyung Hwa Kim, Jong Hun Kim, Tae Yun Kim","doi":"10.14503/THIJ-24-8405","DOIUrl":"10.14503/THIJ-24-8405","url":null,"abstract":"<p><p>Left ventricular pseudoaneurysm is a serious and rare disorder that usually develops after acute myocardial infarction. It can lead to potentially lethal mechanical complications, such as acute left ventricular free wall rupture. This report presents the case of a 64-year-old man with a left ventricular pseudoaneurysm and myocardial rupture that was managed by left ventricular restoration with aneurysmectomy and coronary artery bypass with 2 grafts.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356422","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
Prevalence of Cardiometabolic Risk Factors in Women: Insights From the Houston HeartReach Study. 女性心脏代谢风险因素的普遍性:休斯顿 HeartReach 研究的启示。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-09-27 DOI: 10.14503/THIJ-24-8429
Arjun R Raghuram, Matthew W Segar, Stephanie Coulter, Joseph G Rogers
{"title":"Prevalence of Cardiometabolic Risk Factors in Women: Insights From the Houston HeartReach Study.","authors":"Arjun R Raghuram, Matthew W Segar, Stephanie Coulter, Joseph G Rogers","doi":"10.14503/THIJ-24-8429","DOIUrl":"10.14503/THIJ-24-8429","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease is the leading cause of death among women in the United States. Past research has highlighted the importance of the relationship between female-specific demographics and traditional risk factors. The present analysis aimed to identify the prevalence of modifiable risk factors in women attending a community cardiovascular health screening.</p><p><strong>Methods: </strong>Data collected between 2011 and 2019 were obtained from the Houston HeartReach Registry. Participants were classified as having or not having each of 4 traditional cardiometabolic risk factors: hypertension, diabetes, body mass index indicating overweight or obesity, and dyslipidemia. Differences in prevalence were compared using the Pearson χ2 test.</p><p><strong>Results: </strong>Most participants had hypertension, overweight or obesity, and dyslipidemia. Older women (≥65 years) had the highest prevalence of all cardiometabolic risk factors. Black participants had a higher prevalence of hypertension (P = .006) and a lower prevalence of dyslipidemia (P = .009) than non-Black participants. Hispanic participants had a lower prevalence of hypertension (P < .001) and a higher prevalence of overweight or obesity (P = .03) than non-Hispanic participants. Participants in the lowest household income bracket (<$25,000) were more likely to have diabetes (P = .001) and overweight or obesity (P = .004) than participants in the highest income bracket (≥$50,000). Unemployed participants had a higher prevalence of diabetes (P < .001), overweight or obesity (P = .004), and dyslipidemia (P < .001) than employed participants. Comorbidity analysis revealed clustering of multiple cardiometabolic risk factors. Moreover, risk factor hot spots were identified by zip code, which could help select future sites for targeted screening.</p><p><strong>Conclusion: </strong>The analysis found that cardiometabolic risk factor prevalence varies with demographic and socioeconomic status. Geographic areas where cardiometabolic risk factor prevalence was highest were also identified. Further participant recruitment and analysis are required to create predictive models of cardiovascular disease risk in women.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356421","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
Recent Developments in Cardiac Contractility Modulation for Heart Failure. 心脏收缩力调节治疗心力衰竭的最新进展。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-09-17 DOI: 10.14503/THIJ-24-8464
Joshua R Hirsch, Hamid Afshar
{"title":"Recent Developments in Cardiac Contractility Modulation for Heart Failure.","authors":"Joshua R Hirsch, Hamid Afshar","doi":"10.14503/THIJ-24-8464","DOIUrl":"10.14503/THIJ-24-8464","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299024","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
Valvular Endocarditis and Biventricular Heart Failure in the Setting of Tropheryma whipplei Disease. 瓣膜性心内膜炎和双心室性心力衰竭(Tropheryma whipplei Disease)。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-08-05 DOI: 10.14503/THIJ-23-8336
Defne Gunes Ergi, Hind J Fadel, Hector I Michelena, Grace Lin, Kevin L Greason, Arman Arghami
{"title":"Valvular Endocarditis and Biventricular Heart Failure in the Setting of Tropheryma whipplei Disease.","authors":"Defne Gunes Ergi, Hind J Fadel, Hector I Michelena, Grace Lin, Kevin L Greason, Arman Arghami","doi":"10.14503/THIJ-23-8336","DOIUrl":"10.14503/THIJ-23-8336","url":null,"abstract":"<p><p>Whipple disease is a rare systemic illness associated with weight loss, diarrhea, and arthralgia. Asymptomatic carriage is common, but the disease can be complicated by cardiac involvement and may result in culture-negative endocarditis. Cardiac manifestations of the disease can lead to death. This report presents the case of a 66-year-old man with Whipple disease and biventricular heart failure with cardiogenic shock. Medical therapy followed by successful replacement of the aortic and mitral valves resulted in substantial improvement.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890637","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
Cardiac Mass in a 78-Year-Old Patient With a History of Cancer: Diagnostic and Treatment Challenges. 一名 78 岁有癌症史患者的心脏肿块:诊断与治疗的挑战。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-08-02 DOI: 10.14503/THIJ-23-8299
Bihong Zhao, Ayah Zaqqa, Michelle M McDonald, Ismael A Salas de Armas, Igor D Gregoric, L Maximilian Buja
{"title":"Cardiac Mass in a 78-Year-Old Patient With a History of Cancer: Diagnostic and Treatment Challenges.","authors":"Bihong Zhao, Ayah Zaqqa, Michelle M McDonald, Ismael A Salas de Armas, Igor D Gregoric, L Maximilian Buja","doi":"10.14503/THIJ-23-8299","DOIUrl":"10.14503/THIJ-23-8299","url":null,"abstract":"<p><p>Primary cardiac angiosarcoma is a rare, aggressive malignancy that commonly metastasizes to various organs. The presenting symptoms are typically nonspecific, so a comprehensive examination is required to confirm the diagnosis promptly. This case report describes the presentation of an older patient with a history of neoplasms. Echocardiography and biopsy were performed, but despite surgical intervention to resect a large right atrial mass, the patient died. A final diagnosis of primary angiosarcoma was made based on the resected specimen.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879688","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
Modern Perspectives on Hypertrophic Cardiomyopathy-No One Size Fits All. 肥厚型心肌病的现代视角--不能一刀切。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-08-01 DOI: 10.14503/THIJ-24-8423
Brett Doliner, Hadeel Gaddar, Ramsey Kalil, Alexander Postalian
{"title":"Modern Perspectives on Hypertrophic Cardiomyopathy-No One Size Fits All.","authors":"Brett Doliner, Hadeel Gaddar, Ramsey Kalil, Alexander Postalian","doi":"10.14503/THIJ-24-8423","DOIUrl":"10.14503/THIJ-24-8423","url":null,"abstract":"<p><p>Despite substantial advances in the management of hypertrophic cardiomyopathy, advanced heart failure remains a major cause of morbidity in this patient population. This narrative review presents the case of a patient with hypertrophic obstructive cardiomyopathy who underwent alcohol septal ablation to frame a discussion of modern therapies for hypertrophic cardiomyopathy. The current treatment landscape includes medications, both old and new, and surgical and procedural interventions to relieve mechanical obstruction. Several promising new modalities for relieving obstruction are in the nascent stages of development.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11292115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861341","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
Iatrogenic Atrial Septal Defect After MitraClip Transcatheter Edge-to-Edge Repair: To Close or Not to Close? MitraClip 经导管边缘到边缘修复术后的先天性房室隔缺损:关闭还是不关闭?
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-07-31 DOI: 10.14503/THIJ-23-8337
Mariem Abdelsalam, Raghad Younus, Lamis F Abdalla, Abdelkader Almanfi
{"title":"Iatrogenic Atrial Septal Defect After MitraClip Transcatheter Edge-to-Edge Repair: To Close or Not to Close?","authors":"Mariem Abdelsalam, Raghad Younus, Lamis F Abdalla, Abdelkader Almanfi","doi":"10.14503/THIJ-23-8337","DOIUrl":"10.14503/THIJ-23-8337","url":null,"abstract":"<p><p>The evolution of percutaneous procedures that use transseptal puncture to treat left-sided structural heart disease has led to the emergence of iatrogenic atrial septal defects as a potential complication. These defects can result in hemodynamic decompensation and worsening clinical outcomes. Some iatrogenic atrial septal defects require immediate closure, others do not. This case report presents 2 patients who underwent transcatheter edge-to-edge mitral valve repair with transseptal puncture and required iatrogenic atrial septal defect closure (1 immediate and 1 delayed). The goal of this report is to highlight iatrogenic atrial septal defect assessment and the possible need for closure after transseptal puncture.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856875","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
Spontaneous Right Intrapetrous Internal Carotid Dissection in a Patient With Active COVID-19. 一名活动性 COVID-19 患者的自发性右颈内动脉交叉。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2024-07-25 DOI: 10.14503/THIJ-24-8403
Oscar Noble, Keri Sprung, Orlando Diaz, Stephanie Coulter, Eduardo Hernandez-Vila
{"title":"Spontaneous Right Intrapetrous Internal Carotid Dissection in a Patient With Active COVID-19.","authors":"Oscar Noble, Keri Sprung, Orlando Diaz, Stephanie Coulter, Eduardo Hernandez-Vila","doi":"10.14503/THIJ-24-8403","DOIUrl":"10.14503/THIJ-24-8403","url":null,"abstract":"<p><p>Spontaneous cervical artery dissection, a nontraumatic tear in the wall of an internal carotid or vertebral artery, is a common cause of stroke, particularly in patients younger than 40 years of age; however, petrous internal carotid artery dissection is extremely rare. This case report describes a 50-year-old woman who had a spontaneous intrapetrous internal carotid dissection thought to be secondary to active SARS-CoV-2 infection; the dissection was treated successfully with a flow-diverter stent.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"51 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761868","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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