Acta Cardiologica Sinica最新文献_第10页

Carney Complex with Left Atrial Myxoma - A Vasculitis Mimicker. 卡尼综合征伴左心房肌瘤--脉管炎的模仿者

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20231108A

Perryn Ng, Tiong Cheng Yeo

引用次数: 0

Challenges in Retrieving a Knotted Temporary Pacemaker Lead: Lessons Learned from a Case Study. 取回打结的临时起搏器导线的挑战：从病例研究中汲取的经验教训。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20231023A

Jingchen Zhang

引用次数: 0

Extended and Safe Support with the CentriMag® Temporary Ventricular Assist Device Implanted with Skirted-Cannula Technique. 通过 Skirted-Cannula 技术植入 CentriMag® 临时心室辅助装置，延长并安全地提供支持。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20230817A

Chan-Yang Hsu, I-Shiang Tzeng, Jenn-Yeu Song, Kuei-Ton Tsai, Ta-Chung Shen

{"title":"Extended and Safe Support with the CentriMag® Temporary Ventricular Assist Device Implanted with Skirted-Cannula Technique.","authors":"Chan-Yang Hsu, I-Shiang Tzeng, Jenn-Yeu Song, Kuei-Ton Tsai, Ta-Chung Shen","doi":"10.6515/ACS.202401_40(1).20230817A","DOIUrl":"10.6515/ACS.202401_40(1).20230817A","url":null,"abstract":"Objectives: CentriMag® (Abbott, Pleasanton, CA, USA) is indicated for temporary circulatory support for up to 30 days. Extended support is not uncommon, and the results vary considerably. Herein, we review our experience on extended support.Methods: We retrospectively analyzed 19 patients supported with CentriMag as a bridge to recovery, long-term ventricular assist device or transplantation from September 2011 to October 2021.Results: Nineteen patients (16 men and 3 women; mean age 51.7 ± 9.2 years) had CentriMag left ventricular assist device (LVAD) implantation with the skirted-cannula technique. Twelve (63.2%), 6 (31.6%), and 1 (5.3%) patient were in INTERMACS 1, 2, and 3, respectively. The aims of support were bridge-to-decision in 3 patients (15.8%), and bridge-to-transplantation in 16 patients (84.2%). Fourteen patients were supported for longer than 30 days, while 5 patients had their CentriMag removed before 30 days. Of the 5 patients supported for less than 30 days, 3 died early after implantation due to complications of prolonged shock. The other 2 patients were successfully transplanted. Among the 14 patients supported for longer than 30 days, 1 patient died after transplantation and 13 patients survived either after transplantation or weaning off CentriMag. The overall 1-year survival rate was 73.7%. The duration of support for all patients ranged from 6 to 191 days (64 ± 61 days; median 41 days).Conclusions: The skirted cannula technique for apical cannulation in implantation of CentriMag LVAD is an easy, safe and durable technique. Immediate post-operative and long-term complications are not common. Its use over 30 days is associated with acceptable survival.","PeriodicalId":6957,"journal":{"name":"Acta Cardiologica Sinica","volume":"40 1","pages":"70-76"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541069","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

Hereditary Transthyretin Amyloid Cardiomyopathy with Val142Ile Mutation in Taiwan: A Case Report. 台湾发生 Val142Ile 突变的遗传性转甲状腺素淀粉样心肌病：病例报告。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20231020A

Yuh-Fan Hsu, Yi-Yao Chang, Yen-Wen Wu, Chien-Chen Tsai, Bing-Hsiean Tzeng

引用次数: 0

Impact of the Integrated Activation System on Door-to-Balloon Times and Clinical Outcomes in STEMI Patients Receiving Primary PCI. 综合激活系统对接受初级 PCI 的 STEMI 患者从入口到气球的时间和临床疗效的影响。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20230619D

Hsuan-Ling Tseng, Zih-Ying Li, Ching-Chia Lin, Wei-Ting Chang, Jhih-Yuan Shih, Zhih-Cherng Chen, Hung-Jung Lin, Chia-Te Liao

{"title":"Impact of the Integrated Activation System on Door-to-Balloon Times and Clinical Outcomes in STEMI Patients Receiving Primary PCI.","authors":"Hsuan-Ling Tseng, Zih-Ying Li, Ching-Chia Lin, Wei-Ting Chang, Jhih-Yuan Shih, Zhih-Cherng Chen, Hung-Jung Lin, Chia-Te Liao","doi":"10.6515/ACS.202401_40(1).20230619D","DOIUrl":"10.6515/ACS.202401_40(1).20230619D","url":null,"abstract":"Background: The door-to-balloon (D2B) time is a critical quality measure in managing ST-segment elevation myocardial infarction (STEMI) patients receiving primary percutaneous coronary intervention (PCI). We developed an integrated STEMI activation system, named Acute Myocardial Infarction Software Aids (AMISTAD), to optimize care for STEMI patients. This study aimed to evaluate the impact of the AMISTAD system on D2B times and clinical outcomes.Methods: We retrospectively collected data of consecutive STEMI patients receiving primary PCI between July 2017 and December 2018 at a single center. The patients were categorized into AMISTAD and non-AMISTAD groups. Outcomes included D2B time, length of hospital stay, and 12-month cardiovascular outcomes. Data were analyzed using multiple regression models; subgroup and sensitivity analyses were applied to examine the robustness of the results.Results: A total of 114 STEMI patients were enrolled (38 AMISTAD, 76 non-AMISTAD). The AMISTAD group had a significantly shorter mean D2B time (66.7 ± 13.2 vs. 76.6 ± 24.9 minutes, p = 0.02) and non-significantly shorter length of hospital stay (4.7 vs. 7.2 days, p = 0.09). The 12-month cardiovascular outcomes between the two groups were not significantly different (adjusted hazard ratio 0.79, 95% confidence interval 0.30-2.09, p = 0.64). Subgroup and sensitivity analyses had consistent outcomes.Conclusions: Integrating the AMISTAD system into the STEMI workflow was associated with a reduced D2B time and shorter hospital stay. Further research involving larger cohorts and extended follow-up periods is needed to assess the generalizability and impact on cardiovascular outcomes. The AMISTAD system has the potential to improve the quality of care for STEMI patients.","PeriodicalId":6957,"journal":{"name":"Acta Cardiologica Sinica","volume":"40 1","pages":"97-110"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541106","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

The Anti-Apoptotic Effect of Ranolazine on Cerebral Protection during Cardiopulmonary Bypass and Carotid Artery Surgery. 雷诺嗪对心肺旁路和颈动脉手术中大脑保护的抗凋亡作用

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20230814C

Engin Akgul, Meliha Koldemir Gunduz, Ali İhsan Parlar, Yesim Guner, Murat Eroglu, Abdulkerim Ozhan, Gulen Sezer Alptekin, Ahmet Cekirdekci

{"title":"The Anti-Apoptotic Effect of Ranolazine on Cerebral Protection during Cardiopulmonary Bypass and Carotid Artery Surgery.","authors":"Engin Akgul, Meliha Koldemir Gunduz, Ali İhsan Parlar, Yesim Guner, Murat Eroglu, Abdulkerim Ozhan, Gulen Sezer Alptekin, Ahmet Cekirdekci","doi":"10.6515/ACS.202401_40(1).20230814C","DOIUrl":"10.6515/ACS.202401_40(1).20230814C","url":null,"abstract":"Background: We aimed to determine the usability of ranolazine (Rn) as a neuroprotective during cardiac surgeries and carotid artery interventions where cerebral blood flow is interrupted.Methods: Female Wistar albino rats were used. The rats were divided into 4 groups of 8 rats each. The first group (Group 1) was the control group. Group 2 underwent ischemia induction but was not treated with Rn. Group 3 received 25 mg/kg/day and Group 4 50 mg/kg/day Rn intraperitoneally, starting 3 days before ischemia induction. Bilateral carotid arteries were explored and clamped simultaneously. Ischemia was induced for 15 minutes. After 72 hours, the experimental animals were sacrificed.Results: Superoxide dismutase, alkaline phosphatase, and interleukin 6 levels were similar among the 4 groups. Acetylcholine esterase (Group 3: p = 0.007, Group 4: p = 0.002), tumor necrosis factor-alpha (Group 4: p = 0.01), and annexin V (Group 3: p = 0.001) levels were statistically significantly lower in the Rn-treated groups. Malondialdehyde (Group 3: p = 0.003, Group 4: p = 0.009), reduced glutathione (Group 4: p = 0.04), acid phosphatase (Group 3: p = 0.04), noradrenaline (Group 3: p = 0.01), and Bcl-2 (Group 4: p = 0.004) levels were significantly higher in the Rn-treated groups.Conclusions: The results of this study demonstrated the antiapoptotic effect of Rn in a brain ischemia-reperfusion model of rats receiving Rn before the procedure.","PeriodicalId":6957,"journal":{"name":"Acta Cardiologica Sinica","volume":"40 1","pages":"77-86"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541148","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

The Burgeoning Field of Advanced Vascular Wound Management. 新兴的高级血管伤口管理领域。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20231120A

Chao-Yung Wang, Yen-Wen Wu

引用次数: 0

Predictors and Outcomes of Acute Brain Injury in Patients on Venoarterial Extracorporeal Membrane Oxygenation after Cardiopulmonary Resuscitation. 心肺复苏后静脉体外膜氧合患者急性脑损伤的预测因素和预后。

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20230817B

Chia-Yu Ou, Meng-Ta Tsai, Yi-Chen Wang, Jun-Neng Roan, Chung-Dann Kan, Yu-Ning Hu

{"title":"Predictors and Outcomes of Acute Brain Injury in Patients on Venoarterial Extracorporeal Membrane Oxygenation after Cardiopulmonary Resuscitation.","authors":"Chia-Yu Ou, Meng-Ta Tsai, Yi-Chen Wang, Jun-Neng Roan, Chung-Dann Kan, Yu-Ning Hu","doi":"10.6515/ACS.202401_40(1).20230817B","DOIUrl":"10.6515/ACS.202401_40(1).20230817B","url":null,"abstract":"Background: Venoarterial (V-A) extracorporeal membrane oxygenation (ECMO) after cardiac arrest often predisposes patients to acute brain injury (ABI), which affects survival and neurological performance. The investigation of the predictors of ABI will be beneficial for further management.Objectives: To explore the predictors and outcomes of ABI and intracerebral hemorrhage (ICH) in patients experiencing cardiac arrest and cardiopulmonary resuscitation (CPR) with V-A ECMO support.Methods: We retrospectively analyzed 150 patients who successfully weaned from V-A ECMO support after pre-ECMO CPR at our institution from January 2009 to December 2021. Short-term and long-term outcomes were evaluated. Characteristics before and during ECMO were analyzed for determining the predictors of ABI and ICH.Results: Of the 150 patients, 66 (44.0%) had ABI. ABI was associated with higher in-hospital mortality (62.1% vs. 21.4%, p < 0.0001) and poorer long-term survival after discharge (p = 0.002). Patients who survived to discharge with ABI had significantly more severe neurological deficits at discharge (84.0% vs. 42.4%, p < 0.0001) and improved little at one year after discharge (33.3% vs. 11.4%, p = 0.027). We found that CPR duration [odds ratio (OR) = 1.04, p = 0.003] was the independent risk factor for ABI, whereas lower platelet counts was the independent risk factor for ICH (OR = 0.96, p = 0.019).Conclusions: After CPR, development of ABI during V-A ECMO support impacted survival and further neurological outcome. Longer CPR duration before ECMO set up significantly increases the occurrence of ABI. Besides, severe thrombocytopenia during ECMO support increases the possibility of ICH.","PeriodicalId":6957,"journal":{"name":"Acta Cardiologica Sinica","volume":"40 1","pages":"111-122"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541137","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 Three-Dimensional Mapping-Guided Sinus Node Modification for Drug-Refractory Inappropriate Sinus Tachycardia after Circumferential Pulmonary Vein Isolation. 三维制图引导下的窦房结改造成功治疗环形肺静脉隔离后药物难治性不适当窦性心动过速

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20231026A

Hao-Tien Liu, Ming-Shien Wen, Chung-Chuan Chou

引用次数: 0

Left Atrial Expansion Index for Ischemic Stroke Prediction in Patients with Atrial Fibrillation. 预测心房颤动患者缺血性卒中的左心房扩张指数

IF 1.8 4区医学

Acta Cardiologica Sinica Pub Date : 2024-01-01 DOI: 10.6515/ACS.202401_40(1).20230628A

Jau-Wen Shiau, Chao-Sheng Hsiao, Shih-Hung Hsiao

{"title":"Left Atrial Expansion Index for Ischemic Stroke Prediction in Patients with Atrial Fibrillation.","authors":"Jau-Wen Shiau, Chao-Sheng Hsiao, Shih-Hung Hsiao","doi":"10.6515/ACS.202401_40(1).20230628A","DOIUrl":"10.6515/ACS.202401_40(1).20230628A","url":null,"abstract":"Background: The efficacy of the left atrial (LA) expansion index (LAEI) to predict cerebral ischemic events in patients with atrial fibrillation (AF) is unknown.Methods: We enrolled 177 patients with AF (88 with paroxysmal AF and 89 with persistent AF) and a baseline CHA2DS2-VASc score (at enrollment) of 3.6 ± 2.3. Comprehensive echocardiography was performed at enrollment. The LAEI was calculated as (Volmax - Volmin) × 100%/Volmin, where Volmax and Volmin denoted maximal and minimal LA volumes, respectively. The study endpoint was ischemic stroke. Stroke subtypes were classified into cardioembolic stroke (CE), non-CE with determined mechanism (NCE), embolic stroke of undetermined source (ESUS), or transient ischemic attack (TIA).Results: Over a mean 9.9-year follow-up period, 44 (24.9%) of the patients reached the endpoint (24 with CE, 4 with NCE, 6 with ESUS, and 10 with TIA). The LAEI was lower in the stroke group than in the non-stroke group. Stroke incidence in the lowest LAEI quartile was much higher than that in the other LAEI quartiles; the 10-year cumulative stroke risk was 15.9% (14/88) and 33.7% (30/89) in the patients with paroxysmal and persistent AF, respectively. An LAEI of < 35% predicted the presence of stroke with 77% sensitivity and 78% specificity. In multivariable analysis, the LAEI was independently associated with ischemic stroke (hazard ratio 0.952 per 1% increase, 95% confidence interval 0.932-0.971, p < 0.0001).Conclusions: The LAEI is a useful predictor of ischemic stroke in patients with AF.","PeriodicalId":6957,"journal":{"name":"Acta Cardiologica Sinica","volume":"40 1","pages":"60-69"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541109","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