The American heart hospital journal最新文献

{"title":"Late-term Post-operative Recanalization of a Fistula between the Coronary Artery and Bronchial Vein.","authors":"Omer Satıroğlu,&nbsp;Turan Erdoğan,&nbsp;Mehmet Bostan,&nbsp;Yüksel Ciçek,&nbsp;Ahmet Temiz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A coronary artery fistula is a rare congenital anomaly that creates a direct link between the coronary artery and the heart chambers or other vascular structures. It is often identified coincidentally during diagnostic coronary angiography and may cause coronary steal syndrome. We report on a 54-year-old man with myocardial ischemia who had coronary angiography and a recanalized fistula was detected during the procedure. </p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 2","pages":"116-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32351585","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}

{"title":"Late-term Post-operative Recanalization of a Fistula between the Coronary Artery and Bronchial Vein.","authors":"O. Şatıroğlu, T. Erdoǧan, M. Bostan, Y. Çiçek, A. Temiz","doi":"10.15420/AHHJ.2011.9.2.116","DOIUrl":"https://doi.org/10.15420/AHHJ.2011.9.2.116","url":null,"abstract":"A coronary artery fistula is a rare congenital anomaly that creates a direct link between the coronary artery and the heart chambers or other vascular structures. It is often identified coincidentally during diagnostic coronary angiography and may cause coronary steal syndrome. We report on a 54-year-old man with myocardial ischemia who had coronary angiography and a recanalized fistula was detected during the procedure.","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 2 1","pages":"116-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67577131","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}

{"title":"Acute Myocardial Infarction Secondary to Suspected Paradoxical Emboli through Patent Foramen Ovale in a Young Woman.","authors":"Mohammad Hassan Namazi,&nbsp;Marjan Biglari,&nbsp;Mohammad Khani,&nbsp;Vahid Eslami,&nbsp;Mohammad Reza Movahed","doi":"10.15420/ahhj.2011.9.2.122","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.2.122","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 2","pages":"122-4"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32351587","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}

{"title":"Intravascular ultrasound and angiographic demonstration of left main stem thrombus-high-risk presentation in a young adult with anabolic steroid abuse.","authors":"Pankaj Garg,&nbsp;Gershan Davis,&nbsp;John Ian Wilson,&nbsp;Mohan Sivananthan","doi":"10.15420/ahhj.2010.8.2.125","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.125","url":null,"abstract":"<p><p>We present a case of acute myocardial infarction in a young adult with a history of anabolic steroid abuse. On diagnostic coronary angiography and intravascular ultrasound, he was found to have a distal left main stem thrombus extending into the proximal left anterior descending artery and a large intermediate vessel. As he was hemodynamically stable and pain-free, he was managed conservatively with triple antiplatelet therapy (aspirin, clopidogrel, and abciximab). This was also to avoid the risk of 'wiring the vessel,' especially if there was underlying dissection. Repeat angiography a few weeks later showed complete thrombus resolution. This is the first reported case of extensive left main stem thrombus in a young patient with anabolic steroid abuse. Management of such cases is not straightforward and our case highlights one approach to both diagnosis and treatment.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E125-7"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150278","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}

{"title":"Progression of low-pressure to acute classic cardiac tamponade-a diagnostic dilemma in the setting of spontaneous left ventricular rupture.","authors":"Vignendra Ariyarajah,&nbsp;Farrukh Hussain,&nbsp;Robert McGregor,&nbsp;Michael Raabe,&nbsp;Alan Menkis,&nbsp;Davinder S Jassal","doi":"10.15420/ahhj.2010.8.2.133","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.133","url":null,"abstract":"<p><p>Cardiac tamponade (CT) is a pathophysiologic continuum where hemodynamic embarrassment occurs as a result of progressive, decreased venous return that impairs diastolic ventricular filling, which in turn, when uncorrected, severely compromises cardiac output. While CT is classically associated with high intrapericardial pressures due to rapidly accumulating large pericardial effusions, low-pressure CT is a recognized entity in which a comparatively low intrapericardial pressure could result in cardiac chamber compression and subsequent cardiovascular collapse. In this article, we highlight a previously unreported scenario of rapidly re-accumulating, acute CT in the setting of left ventricular rupture in a patient who had presumably presented with low-pressure CT due to hemoperiardium.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E133-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150281","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}

{"title":"Accountable care organizations- ready for prime time or not?","authors":"Sylvan Lee Weinberg","doi":"10.15420/ahhj.2010.8.2.78","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.78","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E78-9"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150282","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}

{"title":"Patient demographics, complications, and hospital utilization in 250 consecutive device implants in a new community hospital electrophysiology program--implications for 'niche' hospitals.","authors":"Jeffrey L Williams,&nbsp;David Lugg,&nbsp;Robert Gray,&nbsp;Douglas Hollis,&nbsp;Michelle Stoner,&nbsp;Robert Stevenson","doi":"10.15420/ahhj.2010.8.1.33","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.33","url":null,"abstract":"<p><strong>Background: </strong>Single-center reports on patient demographics and early (<6 weeks) device complication rates in academic hospitals are scant and non-existent for non-academic community hospital electrophysiology (EP) programs.</p><p><strong>Objective: </strong>The objective of our study was to examine the demographics, complications, re-admissions, and accessibility of care in a community EP program to add to the body of knowledge of 'real-world' defibrillator implant complications.</p><p><strong>Methods: </strong>Two hundred and fifty consecutive patients who underwent device implantation by a single electrophysiologist in a new non-academic community hospital EP program starting from its inception in July 2008 were included for analysis. Standard procedures for implantation were used. Pacemakers, defibrillators, and generator changes were included; temporary pacemakers were excluded. Major complications were defined as in-hospital death, cardiac arrest, cardiac perforation, cardiac valve injury, coronary venous dissection, hemothorax, pneumothorax, transient ischemic attack, stroke, myocardial infarction, pericardial tamponade, and arteriovenous fistula. Minor complications were defined as drug reaction, conduction block, hematoma or lead dislodgement requiring re-operation, peripheral embolus, phlebitis, peripheral nerve injury, and device-related infection.</p><p><strong>Results: </strong>This community cohort had similar ejection fractions but was older with worse kidney function than those studied in prior reports. There was one major early complication (0.4%) and seven minor early complications (2.8%). Left ventricular lead placement was successful in 64 of 66 patients (97%).</p><p><strong>Conclusions: </strong>This is the first community-hospital-based EP program to examine device implant demographics and outcomes, and revealed an elderly, ill population with lower overall rates of complications than seen in national trials and available reports from single non-community centers. Contrary to current perceptions, these data suggest that community centers may subselect an elderly, ill patient population and can provide high-quality, cost-effective, and more accessible care.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565584","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}

{"title":"American healthcare reform agonistes.","authors":"Sylvan Lee Weinberg","doi":"10.15420/ahhj.2010.8.1.7","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.7","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565594","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}

{"title":"Transradial cardiac catheterization and intervention--observations on its place in the catheterization laboratory.","authors":"George T Broderick","doi":"10.15420/ahhj.2010.8.1.19","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.19","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565668","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}

{"title":"Healthcare Reform 2010- a surgeon's perspective.","authors":"Daniel J Ullyot","doi":"10.15420/ahhj.2010.8.2.80","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.80","url":null,"abstract":"<p><p>The Patient Protection and Affordable Care Act (PPACA) was signed into law President Barack Obama in March 2010. From the standpoint of a clinical surgeon, Dan Ullyot examines healthcare reform of the US system and asks: What is healthcare reform? Do we need it? What would ideal reform look like? And to what extent does the PPACA approach ideal reform? This article is a primer for understanding the salient features of this complex piece of federal legislation, which will have an enormous influence on the lives of this generation and those of the future.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E80-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150283","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}