UpToDate’s Post

Among patients undergoing mitral valve repair, the addition of tricuspid annuloplasty is associated with a higher incidence of permanent pacemaker implantation, and subsequently linked with reduced long-term survival and higher rates of heart failure hospitalization and infective endocarditis, an analysis of patient data shows. Read more on #CRTonline. https://ow.ly/RFR450RG70z #cardiacnurse #cardiologists #cardiology #cardiologyfellow #cardiologyfellows #cardiologynurse #cardiologynurses #cathlab #cathlabnurse #cathlabtech #interventionalcardiologists #interventionalcardiology #interventionalcardiologyfellow #interventionalcardiologyfellows #MCRN #medicalequity

👩⚕️ 👨⚕️ #HCPs: Sudden cardiac death (#SCD) accounts for a substantial proportion of #mortality in heart failure 💔 with reduced ejection fraction (HFrEF), frequently triggered by ventricular arrhythmias (#VA). ❓ What are the pathophysiological mechanisms underlying VA and SCD in #HFrEF? ❓ What shows significant efficacy in reducing SCD risk? 💡 Our expert Christian Sticherling will give you an update on 👉 Ventricular Arrhythmias & Prevention of Sudden Cardiac Death at the 10th Cardio Update Europe, Amsterdam & virtually, 28-29 June, 2024. ⏰ Early bird is soon ending, don't miss out and register now: https://lnkd.in/eSFmAtk #Betablockers #angiotensin #mineralocorticoid #antagonists #angiotensinreceptorblockers #sodiumglucose #pharmacotherapy #antiarrhythmic #cardiology #medicaleducation #ventriculararrhythmias

Yesterday, we faced a complex case of total thrombotic occlusion of the RCA. Despite multiple attempts with traditional aspiration catheters, we encountered significant resistance due to heavy thrombus burden. We successfully navigated this challenge by utilizing the Penumbra catheter. By carefully clearing the thrombus from the catheter, we were able to restore blood flow and successfully stent the RCA with a 3.5x18mm Promus Elite stent. This case highlights the importance of having advanced tools like the Penumbra catheter at our disposal. It allows us to overcome challenging situations and improve patient outcomes. #CCL #Cathlab #PCI #penumbra #Coronary #interventionalcardiology #cardiology #medicaltechnology #hearthealth #healthcare Penumbra, Inc. Penumbra Vascular

This international, multicentre, randomized controlled ULTRACOLOR Trial compared ultrasound-guided versus fluoroscopy-guided large-bore femoral access in percutaneous coronary intervention (PCI) of complex coronary lesions. Key Results: 🔹 Ultrasound-guided access demonstrated a significantly higher first-pass puncture success rate (92% vs. 85%). 🔹 No significant reduction in clinically relevant bleeding or vascular complications between the two methods. 🔹 Comparable procedural duration and safety outcomes, supporting the feasibility and safety of ultrasound-guided access Read the full article: https://shorturl.at/a1sJ4 Editorial by Sanjit Jolly and Marc-André d'Entremont: https://shorturl.at/YVegt #Cardiology #ClinicalResearch #PCI

This international, multicentre, randomized controlled ULTRACOLOR Trial compared ultrasound-guided versus fluoroscopy-guided large-bore femoral access in percutaneous coronary intervention (PCI) of complex coronary lesions. Key Results: 🔹 Ultrasound-guided access demonstrated a significantly higher first-pass puncture success rate (92% vs. 85%). 🔹 No significant reduction in clinically relevant bleeding or vascular complications between the two methods. 🔹 Comparable procedural duration and safety outcomes, supporting the feasibility and safety of ultrasound-guided access Read the full article: https://shorturl.at/a1sJ4 Tom Meijers Editorial by Sanjit Jolly and Marc-André d'Entremont: https://shorturl.at/YVegt #Cardiology #ClinicalResearch #PCI

In this cohort study comprising 375 propensity-matched pairs of individuals, valve-in-valve transcatheter aortic valve replacement was associated with a lower risk of postprocedural complications, faster recovery times, and a similar incidence of short- to mid-term mortality but with a higher incidence of mortality beyond 2-year follow-up compared with repeat surgical aortic valve replacement

Technological advancements like TAVR or Transcatheter aortic valve replacement procedure is a benediction to critical cardiac patients requiring valve replacements. Babli Dutta's extraordinary case, with a history of known comorbidities and a large hematoma during angioplasty, is a testament to this. Watch the video to know more from the doctor and the patient themselves! #MedicaHospitals #medica #TAVR #HeartHealth #CardiacCare #InnovativeMedicine #ValveReplacement #HeartSurgery #CardiovascularHealth #CriticalCare #PatientStory #HeartProcedure #LifeSavingTreatment #CardiacPatientCare #Angioplasty #TAVRProcedure #HealthyHeart #HeartHealing #Cardiology

📌 Myocardial Bridge This video showcases a significant myocardial bridge in the mid-LAD segment of a 42-year-old patient who experienced chest pain with minimal exertion. Unlike typical epicardial coronary arteries, this patient's mid-LAD segment is myocardial. That's why you see lumenal changes during systole and diastole. Important points: - Patients with myocardial bridges are not always symptomatic. - Stenting isn't an option here, and ballooning won't resolve the issue due to its structural nature. 🔍 Recommendations from her Cardiac Team: - Confirm the bridge with IVUS. - Evaluate clinical significance using physiology tools like iFR/FFR/dFR. - Consider a surgical consult for unroofing. Here is the link if you want to watch the full case review, 12 lead analysis and surgical unroofing case video: https://lnkd.in/eMzKTS9W #Cardiology #HeartHealth #MedicalCases #InterventionalCardiology #HealthcareInnovation

✨ AI-Enhanced Cardiovascular treatment: Percutaneous mechanical thrombectomy of bilateral pulmonary embolism ! ✨ Yesterday, I had the opportunity to manage an interesting complex case—a young lady with massive bilateral pulmonary embolism (PE). The challenge- she couldn’t be placed on anticoagulants/ thrombolysis due to ongoing menorrhagia caused by uterine fibroids. In this scenario, we opted for an advanced, minimally invasive solution: a percutaneous mechanical pulmonary thrombectomy to remove the clots from both the right and left pulmonary arteries. We utilized the Penumbra Indigo Lightning Flash System, which integrates artificial intelligence (AI) to continuously monitor and optimize clot removal (capable of reducing the blood loss). The system combines high-efficiency aspiration with real-time intelligent feedback (whether thrombus or blood). We restored pulmonary flow and avoided thrombolysis complications. #PulmonaryEmbolism #AIInMedicine #InterventionalCardiology #PenumbraIndigo #PulmonaryThrombectomy #Cardiology #MinimallyInvasiveSurgery

#NTproBNP-guided management of acute #heartfailure (HF) patients immediately after discharge. In this study, the management of HF patients with preserved ejection fraction with NT-proBNP did not reduce the #hospital readmission. However the NT-proBNP group showed a significantly lower risk of death (1.3% vs. 10.1% in the control group) https://lnkd.in/dtc7C_xH #cardiology #laboratorymedicine #biomarkers #IVD