Cardiovascular
497 peer-reviewed studies indexed
Cox versus log-logistic models for long-term survival in patients undergoing coronary artery bypass grafting with and without coronary endarterectomy.
Cox versus log-logistic survival models were compared for long-term survival analysis in patients undergoing OPCAB with and without coronary endarterectomy, addressing model selection challenges in a Middle Eastern cohort with high CE rates.
Multimodality Imaging for Giant Left Circumflex Branch Aneurysm Rupturing Into the Superior Vena Cava-Right Atrial Junction.
A multimodality imaging approach using transesophageal echocardiography, cardiac computed tomography angiography, and 3D CT reconstruction was pivotal in guiding successful single-stage surgical intervention for a rare giant left circumflex branch aneurysm rupturing into the superior vena cava-right atrial junction.
When two pathologies collide: a case report of acute appendicitis in a patient with an enlarged abdominal aortic aneurysm.
In patients with large AAAs and concomitant acute surgical abdomen, early multidisciplinary assessment and cautious surgical planning are critical.
[Comparison of the predictive efficacy of the Wagner, SINBAD, and WIfI grading systems for short-term wound non-healing and amputation in patients with DFUs].
The SINBAD grading system performs best in predicting short-term wound non-healing in DFU patients, while the WIfI grading system has an advantage in predicting amputation, and all three grading systems can effectively predict both outcomes.
Unexpected Cardiac Arrest After Cardiopulmonary Bypass Initiation, Likely Due to Cardioplegia Migration: A Case Report.
Contamination of the CPB circuit with cardioplegia solution caused severe hyperkalemia (13.1 mEq/L) and unexpected cardiac arrest immediately after cardiopulmonary bypass initiation in a pediatric cardiac surgery patient, which was resolved by continuing CPB and removing potassium via hemodialysis.
An atypical presentation of microscopic polyangiitis without renal involvement in an older patient with falls, bilateral lower limb swelling and neuropathy.
This case report describes a rare presentation of microscopic polyangiitis with isolated mononeuritis multiplex without glomerulonephritis or other hallmark features, highlighting the varied manifestations of MPA and challenges in recognition, particularly in older adults.
Unusual renal vascular adaptations in childhood Takayasu arteritis: a CT angiographic demonstration of extensive collaterals and aberrant arteries.
A young Indian male with childhood Takayasu arteritis developed extensive collateral and accessory renal arteries as adaptive vascular remodelling, with preserved renal function, highlighting the role of CT angiography in delineating complex vascular remodelling in chronic TA.
Complete PET/CT extinction and subsequent risk of aortic dilation in patients with giant cell arteritis-related large vessel vasculitis treated with tocilizumab.
TCZ achieved complete metabolic response on PET/CT in 76% of patients with GCA-related LVV, and complete PET/CT extinction was associated with a significantly reduced subsequent risk of aortic dilation.
Transcatheter closure of an aortic root pseudoaneurysm following coronary artery bypass grafting.
A dual-device transcatheter strategy using a duct occluder device combined with a covered Papyrus coronary stent successfully excluded a persistent aortic root pseudoaneurysm adjacent to the right coronary ostium in a high-risk surgical patient.
Implantation of Pacemakers in Patients with Chagas disease: A Case-Control Study of Associated Contextual Factors and Prognosis.
Contextual factors interfered with pacemaker implantation in chronic Chagas cardiomyopathy patients, but pacemaker implantation did not influence death over 4 years of follow-up, which was associated only with ejection fraction.
Rare coexistence of unroofed coronary sinus, coronary sinus atresia and rheumatic mitral stenosis demonstrated by multimodality imaging.
Multimodality imaging including echocardiography and cardiac CT was essential for precise anatomical delineation of unroofed coronary sinus with CS orifice atresia and persistent left superior vena cava coexisting with severe rheumatic mitral stenosis, guiding safe surgical intervention.
What Do We Know About Hypertrophic Cardiomyopathy in Poland in the Period 2016-2021 Based on Data From the Public Health System?
The study highlights significant underdiagnosis of HCM in Poland, with registered prevalence increasing from 34.53 to 36.23/100,000 between 2016-2021 while mortality remains high, underscoring the need for improvement in earlier detection and comprehensive care strategies.
Duplex ultrasound analysis of hemodynamic changes following microsurgical repair of unilateral digital artery injuries: a retrospective follow-up study.
Duplex sonography demonstrates that repaired unilateral digital arteries remain patent in the long term, despite reduced flow compared with contralateral controls.
Intersection of Diabetic Foot Infection and Pyoderma Gangrenosum: A Conflicting Treatment Approach.
The coexistence of diabetic foot infection and pyoderma gangrenosum creates conflicting treatment approaches, but the patient responded positively to systemic corticosteroids and infliximab, and surgical intervention proved necessary despite conflicting recommendations on debridement.
A Segatella Copri-centered Gut Microbiota-mediated Metabolic Dysregulation Associated with Transition from Asymptomatic to Symptomatic Intracranial Atherosclerosis.
The transition from asymptomatic intracranial atherosclerotic stenosis to symptomatic ischemic stroke is characterized by a Segatella copri-centered microbiota-metabolite axis involving depletion of anabolic pathways, with five robust biomarkers identified that significantly improve predictive performance over conventional risk factors.
[Clinical effects of antibiotic bone cement and VSD combined with free chimeric anterolateral thigh perforator myocutaneous flaps for sequential treatment of diabetic calcaneal osteomyelitis wounds].
Sequential treatment of diabetic calcaneal osteomyelitis wounds with antibiotic bone cement and VSD combined with free chimeric anterolateral thigh perforator myocutaneous flaps enables thorough removal of infected lesions and effective closure of deep dead space and soft tissue coverage of the calcaneus, with good short-term follow-up effects.
Patient experiences with the Assessment of Burden of Chronic Conditions (ABCC) tool in primary care: a qualitative study.
Patients with chronic conditions generally expressed satisfaction with the ABCC tool's comprehensive questionnaire, user-friendly design, and clear visualisation, though some confusion around grey balloons and limited awareness of advanced treatment recommendation functions were identified as areas for improvement.
Development of a Predictive Model for Pulmonary Embolism in Gastrointestinal Cancer Patients with Isolated Distal Deep Vein Thrombosis.
Age ≥60 years, coronary artery disease, and glucocorticoid use were independently associated with pulmonary embolism in gastrointestinal cancer patients with isolated distal deep vein thrombosis, and a nomogram predictive model was developed with an AUC of 0.77.
Severe bleeding diathesis after dental extractions: a complex case of coagulation disturbances in a patient with multiple myeloma.
A male patient with multiple myeloma experienced severe post-extraction bleeding due to complex coagulation disturbances, which failed to respond to vitamin K and fresh frozen plasma but was controlled with low-dose tranexamic acid.
Diabetes-Related Foot Ulcers: The Role of Informal Caregivers' Experiences and Needs Regarding Involvement in Multidisciplinary Team Treatment. A Qualitative Study.
Informal caregivers of patients with diabetes-related foot ulcers expressed strong wishes for earlier involvement in multidisciplinary treatment, ideally at the time of diabetes diagnosis, while also reporting emotional and practical burden, feelings of guilt, and uncertainty about their roles.
Early Use of Botulinum Toxin in Post-Stroke Spasticity Has the Potential to Prevent Post-Stroke Upper Limb Pain-A Secondary Analysis of the EUBoSS Randomised Controlled Trial.
Early treatment of spasticity with BoNTA may potentially help prevent post-stroke upper limb pain and reduce analgesic use but appears less effective once pain is established.
Renal-Limited Cryofibrinogen-Associated Glomerulonephritis Diagnosed Using Electron Microscopy.
CryoFibrinogen-associated glomerulonephritis may initially manifest as a renal-limited disease and evolve into systemic vasculitis, and electron microscopy is pivotal for diagnosis when proteomic analysis is inconclusive.
Circadian Syndrome Mediates the Association Between Body Roundness Index and Incident Stroke Risk in Middle-Aged and Older Chinese Adults: A Nationwide Prospective Cohort Study.
An increased BRI is associated with a higher stroke risk, partially mediated by CircS, highlighting the potential role of circadian health in stroke prevention.
Possible Deslanoside-Induced Left Posterior Fascicular Ventricular Tachycardia: A Case Report.
Deslanoside may have facilitated left posterior fascicular ventricular tachycardia in a 73-year-old man with paroxysmal atrial fibrillation and no structural heart disease, highlighting that cardiac glycosides may occasionally precipitate Purkinje-related ventricular tachycardia.
Comparative evaluation of multimodal large language models for diagnostic accuracy in pediatric electrocardiography: a prospective comparative diagnostic accuracy study.
Current multimodal LLMs showed limited diagnostic utility in pediatric ECG interpretation, with +LR values near 1.0 across both endpoints, and standalone deployment is not supported.
Environmental barriers and social participation in individuals with chronic stroke: a cross-sectional analysis.
Environmental barriers significantly impact social participation in individuals with chronic stroke, with functional impairments and environmental factors interacting to limit community and social life.
Idiopathic thyrocervical trunk aneurysm managed with endovascular coiling.
A case of idiopathic thyrocervical trunk aneurysm presenting as a painful right-sided pulsatile neck mass was successfully managed with endovascular coil embolisation via right radial artery access, with the patient discharged on post-operative day 1 with resolution of symptoms.
[A case of pulsed field ablation for refractory midmyocardial origin ventricular tachycardia in the left ventricle].
Pulsed field ablation was effective in treating a case of refractory midmyocardial origin ventricular tachycardia in the left ventricle that had failed radiofrequency ablation.
Utility of Novel Lipid Parameters for Risk Stratification in Patients with Diabetes and STEMI-from a Prospective Study.
Incorporating novel lipid-associated biomarkers (PCSK9, FABP4, Resolvin D1) and the TyG index into a traditional risk assessment framework significantly enhanced the evaluation of ischemic stroke events within myocardial infarction populations afflicted by diabetes mellitus.
Partial Anomalous Pulmonary Venous Return in Lung Cancer Surgery: Diagnostic Challenges and Surgical Considerations in Two Cases.
Deliberate awareness and accurate preoperative identification of PAPVR are essential in patients undergoing pulmonary resection, and segmentectomy may be a viable surgical option in select cases complicated by PAPVR because it potentially minimizes the reduction in pulmonary blood flow while preserving lung function.
Propensity score analysis of triglyceride-glucose index in newly diagnosed patients with essential hypertension as a predictor of microalbuminuria.
The TyG index is a simple and accessible biomarker for predicting microalbuminuria in newly diagnosed hypertensive patients, with a high TyG index (≥9.125) associated with an odds ratio of 2.37 (95% CI 1.73–3.26) for MAU after propensity score matching.
The association between family history of hypertension and diabetic kidney disease in patients with diabetes: a cross-sectional study.
A family history of hypertension was significantly associated with higher odds of diabetic kidney disease in individuals with type 2 diabetes, with a propensity score matched odds ratio of 2.57 (95% CI: 1.48–4.46, P = 0.001).
Saddle Pulmonary Embolism and Deep Vein Thrombosis Following Foot and Ankle Surgery While on Prophylactic Lovenox: A Case Report.
A 40-year-old male developed acute saddle pulmonary embolism and deep vein thrombosis one month after isolated Lisfranc ligament repair despite being on prophylactic Lovenox, with selective estrogen receptor modulator use for off-label treatment of male infertility, surgical intervention, and non-weight bearing believed to be contributory to his hypercoagulable state.
Crossed cerebellar diaschisis on CT perfusion in large vessel occlusion stroke: early predictors and clinical relevance in the hyperacute phase.
Crossed cerebellar diaschisis was detected by CT perfusion in 84.4% of large vessel occlusion stroke patients, with female sex and larger supratentorial hypoperfused volumes as independent predictors, though CCD was not an independent predictor of functional outcome.
Effect of a digital resilience-based course-game sequential intervention on social participation in stroke survivors with limb dysfunction: a randomised controlled trial protocol.
This paper presents a protocol for a randomised controlled trial to evaluate the effect of a digital resilience-based course-game sequential intervention on improving social participation among stroke survivors with limb dysfunction.
Hyperbaric oxygen therapy of diabetic foot ulcers: a pilot study.
Hyperbaric oxygen therapy was evaluated as a complementary treatment for diabetic foot ulcers in a pilot study, examining its effects given the complex etiology and pathogenesis of this type of lesion.
Portal Vein Thrombosis Due to Concomitant Cytomegalovirus and Epstein-Barr Virus Infection: An Underestimated Complication.
Acute CMV and/or EBV infection is associated with the risk of thromboembolism even in immunocompetent patients, and treating it as a provoked risk for thromboembolism will aid in early detection and management while avoiding unnecessary lifelong anticoagulation.
Evolving Trends in Carotid Endarterectomy and Stenting in Australia: A 15-Year Analysis in the Post-CREST Era.
Over a 15-year period in Australia, CEA declined significantly by 0.346 procedures per 100,000 people annually while CAS increased modestly by 0.061 procedures per 100,000 people annually, reflecting improved medical management, shifting clinical guidelines, and the growing role of minimally invasive techniques.
Effects of Clinical Pharmacist-Led Medication Management on Medication Adherence and Quality of Life in Stroke Patients Undergoing Intravenous Thrombolysis.
Clinical pharmacist-led medication management was associated with improved medication adherence and early lipid control in patients with acute ischemic stroke receiving intravenous thrombolysis.
Reliability and validity of a newly developed Action Research Arm Test for upper limb function assessment in patients with stroke: A comparison with the conventional version.
The newly developed domestically manufactured ARAT demonstrates measurement properties equivalent to the conventional version with excellent reliability and strong criterion-related validity, supporting its clinical utility for comprehensive stroke rehabilitation evaluation.
Impact of low-dose alteplase bridging therapy on outcomes after mechanical thrombectomy in patients with atrial fibrillation-associated acute stroke: A retrospective cohort study.
Low-dose alteplase (0.6 mg/kg) bridging therapy before mechanical thrombectomy improved efficacy and safety in atrial fibrillation-related large vessel occlusion stroke and may be preferable for patients at higher bleeding risk.
Stroke increases motor output variability during maximal voluntary isometric contractions of knee extensor muscles in adults.
Stroke increases motor output variability during maximal voluntary isometric contractions of knee extensor muscles, with greater inconsistency and unsteadiness in the paretic leg associated with poorer clinical measures of motor performance.
Effect of SnapShot Freeze 2 on Reducing Pulsation Artifacts in Coronary Artery Imaging of Patients With High Heart Rates.
SSF2 may improve coronary artery image quality and reduce motion artifacts in patients with high heart rates during CCTA, enhancing both subjective assessment and AI-based diagnostic performance compared with SSF and no-SSF.
Variation in transitional care implementation patterns for older adults with stroke in Japan: A retrospective observational study.
Three distinct transitional care service implementation patterns were identified for ischemic stroke patients in Japanese acute care hospitals, with these patterns significantly associated with hospital bed number and patient age (all P < .01), suggesting structural characteristics—particularly hospital size—contribute to variation in transitional care service delivery.
Fine Particulate Matter Exposure and Risk of Major Adverse Cardiac and Cerebrovascular Events (MACCE) in Post-Percutaneous Coronary Intervention (PCI) Patients: A Thai PCI Registry-Based Cohort Study.
Higher seasonal PM2.5 exposure is associated with MACCE in patients who underwent PCI, with a 1 µg/m3 increase in PM2.5 exposure associated with an adjusted hazard ratio of 1.45 (95% CI: 1.37, 1.54) for MACCE.
Next Generation Flow and Next Generation Sequencing for Measurable Residual Disease Assessment in Multiple Myeloma Patients: A Real-Life Italian Multicenter Harmonization Experience.
This pilot study from the Italian MM-MRD network provided preliminary data for MRD harmonization across Italian centers using NGF and NGS approaches, paving the way for an expanded network aiming at reducing variability, improving comparability, and enabling broader use of MRD-monitoring in clinical practice.
Multidisciplinary management of refractory Kawasaki disease with bilateral giant coronary artery aneurysms and latent tuberculosis infection: a case report focusing on immune-coagulation-infection crosstalk.
An MDT-led, pharmacology-guided sequential protocol integrating alternative immunomodulation, strategic LTBI prophylaxis, and precision anticoagulation effectively resolved therapeutic conflicts in a 3.5-year-old with refractory Kawasaki disease, bilateral giant coronary artery aneurysms, and latent tuberculosis infection, achieving CAA luminal normalization at 9-month follow-up.
High-density lipoprotein-related inflammatory ratios and coronary heart disease: A cross-sectional machine learning analysis of NHANES 2009 to 2020.
Machine learning models incorporating HDL-related inflammatory biomarkers achieved high discrimination (AUROC = 0.8892) for identifying cross-sectional associations with CHD prevalence, with age as the most important predictor and MHR and NHR ranking among the top 5 features.
Venoarterial extroporeal membrane oxygenation for cardiogenic shock following acute myocardial infarction in adult Kawasaki disease: A case report.
Venoarterial extracorporeal membrane oxygenation successfully restored cardiac function and achieved hemodynamic stabilization in two young adult Kawasaki disease patients with AMI complicated by cardiogenic shock, though both developed recurrent acute heart failure during long-term follow-up.
Novel subcutaneous side branch access technique compared to traditional access in radiofrequency ablation of the greater saphenous vein.
Accessing the greater saphenous vein via a subcutaneous side branch is a feasible and advantageous technique, leading to faster cannulation and reduced complication rates compared to the conventional approach.