Article
Cardiac & Cardiovascular Systems
Monika Sadlonova, Jonas Nagel, Svenja Becker, Sophie Neumann, Julia Staab, Thomas Meyer, Christopher M. Celano, Hermioni L. Amonoo, Stella Fangauf, Christoph Herrmann-Lingen, Ingo Kutschka, Martin Friedrich
Summary: A multi-component intervention combining psychological support and reduction of hospital-specific stressors may lead to shorter hospital stay and higher self-efficacy in patients undergoing coronary artery bypass graft surgery, but its impact on quality of life and inflammation remains uncertain.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Medicine, Research & Experimental
Felix Naegele, Leo Poelzl, Michael Graber, Jakob Hirsch, Agnes Mayr, Mathias Pamminger, Felix Troger, Markus Theurl, Michael Schreinlechner, Nikolay Sappler, Christian Dorfmueller, Martina Mitrovic, Hanno Ulmer, Michael Grimm, Can Gollmann-Tepekoylu, Johannes Holfeld
Summary: This study aims to evaluate the safety and efficacy of cardiac SWT as adjunctive treatment during CABG surgery for the regeneration of ischemic myocardium. The primary endpoints of the study include major cardiac events and changes in left-ventricular function 12 months after treatment. Secondary endpoints include 6-min walk test distance, improvement of symptoms, and assessment of quality of life.
Article
Health Care Sciences & Services
Jinwen Wang, Zhechun Zeng, Ran Dong, Juanjuan Sheng, Yongqiang Lai, Jianbo Yu, Huijuan Zuo
Summary: This study investigated the impact of a social media-based (WeChat) intervention integrated with follow-up care on patients undergoing coronary artery bypass graft (CABG) in China. The results showed that the intervention group had higher adherence to medications, improved regular physical activity, and lower systolic blood pressure and low-density lipoprotein cholesterol levels.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Article
Cardiac & Cardiovascular Systems
Mats Dreifaldt, John D. Mannion, Hakan Geijer, Mats Liden, Lennart Bodin, Domingos Souza
Summary: The 8-year follow-up data showed that no touch saphenous vein grafts have excellent patency similar to radial artery grafts and can be used in situations not ideal for radial artery grafts.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Medicine, General & Internal
Oscar M. Peiro, Maria Ferrero, Alba Romeu, Anna Carrasquer, Gil Bonet, Mohsen Mohandes, Alberto Pernigotti, Alfredo Bardaji
Summary: This study aims to determine predictive variables of coronary disease in unselected patients with ventricular dysfunction. The analysis of demographic variables, clinical data, electrocardiogram, and echocardiogram reveals that age, gender, and specific indicators in ECG and echocardiogram are associated with the presence of coronary stenosis.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Rishav Aggarwal, Steven S. Qi, Simon W. So, Cory Swingen, Christina P. Reyes, Rebecca Rose, Christin Wright, Laura L. Hocum Stone, Joshua P. Nixon, Edward O. McFalls, Tammy A. Butterick, Rosemary F. Kelly
Summary: This study used a porcine model to investigate diastolic dysfunction in hibernating myocardium (HM) and the recovery with coronary artery bypass surgery (CABG). The results showed that diastolic peak filling rate was lower in HM compared with the control group, but there was partial recovery with CABG. Cardiac magnetic resonance imaging and histological examination supported these findings.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Hanwei Tang, Jianfeng Hou, Kai Chen, Xiaohong Huang, Sheng Liu, Shengshou Hu
Summary: The study found that current smokers had lower in-hospital mortality rates compared to non-smokers, while there was no significant difference in mortality between ex-smokers and non-smokers.
BMC CARDIOVASCULAR DISORDERS
(2021)
Article
Nursing
Atefeh Allahbakhshian, Azizeh Farshbaf Khalili, Leila Gholizadeh, Leyla Esmealy
Summary: Early mobilization protocols based on deep breathing exercises and chest physiotherapy may better improve postoperative cognitive dysfunction and length of hospital stay for patients undergoing coronary artery bypass graft surgery.
APPLIED NURSING RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
Pradeep Narayan, Satish Kumar, Lalit Kapoor
Summary: The aim of this study was to assess the safety profile of sacubitril-valsartan in patients with reduced ejection fraction undergoing CABG. The results showed that sacubitril-valsartan was well tolerated in patients, with no deaths or readmissions occurring during the 6-month follow-up period. However, one patient experienced hypotension requiring discontinuation, and there were mild elevations in blood urea nitrogen, serum creatinine, and potassium levels.
THORACIC AND CARDIOVASCULAR SURGEON
(2022)
Article
Cardiac & Cardiovascular Systems
Derek S. Chew, Patricia A. Cowper, Hussein Al-Khalidi, Kevin J. Anstrom, Melanie R. Daniels, Linda Davidson-Ray, Yanhong Li, Robert E. Michler, Julio A. Panza, Ileana L. Pina, Jean L. Rouleau, Eric J. Velazquez, Daniel B. Mark
Summary: The STICH trial showed that coronary artery bypass grafting (CABG) is economically favorable compared to medical therapy (MED) in patients with ischemic cardiomyopathy and reduced left ventricular function.
Article
Cardiac & Cardiovascular Systems
Mohammed A. Takroni, Morag Thow, Brian Ellis, Christopher Seenan
Summary: This study found that home-based cardiac rehabilitation is as effective as outpatient-based cardiac rehabilitation for patients who have undergone coronary artery bypass graft surgery. Home-based cardiac rehabilitation appears to be more effective at maintaining improvements after the intervention.
JOURNAL OF CARDIOVASCULAR NURSING
(2022)
Review
Cardiac & Cardiovascular Systems
Mario Gaudino, Antonino Di Franco, Deepak L. Bhatt, John H. Alexander, Antonio Abbate, Lorenzo Azzalini, Sigrid Sandner, Garima Sharma, Sunil Rao, Filippo Crea, Stephen E. Fremes, Sripal Bangalore
Summary: The association between graft patency and clinical outcomes is more complex and variable than commonly thought, influenced by factors such as graft type, occlusion timing, myocardium at risk, and patient characteristics. Graft occlusion is often linked to non-fatal events, with graft failure from competitive flow being benign while occlusion in graft-dependent circulation causing clinical symptoms.
EUROPEAN HEART JOURNAL
(2021)
Review
Cardiac & Cardiovascular Systems
Mahin R. Khan, Waleed T. Kayani, Jason Pelton, Ahmed Ansari, David Paniagua, Umair Khalid, Ali Denktas, Hameem U. Changezi, Ahmad Munir, Ernesto Jimenez, Mahboob Alam, Hani Jneid
Summary: In patients with left ventricular systolic dysfunction (LVD), coronary artery bypass surgery (CABG) was associated with lower long-term mortality and revascularization rates compared to percutaneous coronary intervention (PCI), but had a higher risk of upfront stroke. However, the majority of data were observational studies, emphasizing the need for randomized trials.
CARDIOVASCULAR DRUGS AND THERAPY
(2021)
Article
Cardiac & Cardiovascular Systems
Shouqiang Zhu, Ziyu Zheng, Wenying Lv, Pengrong Ouyang, Jiange Han, Jiaqiang Zhang, Hailong Dong, Chong Lei
Summary: Remote ischemic preconditioning (RIPC) attenuates brain damage in patients undergoing cardiopulmonary bypass (CPB)-assisted cardiac surgery.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
David P. Taggart, Yulia Gavrilov, George Krasopoulos, Cha Rajakaruna, Joseph Zacharias, Ravi De Silva, Keith M. Channon, Thomas Gehrig, Terrence John Donovan, Ivar Friedrich
Summary: This study investigated the effect of external stents on the progression of saphenous vein graft disease. The results showed that external stenting improved the patency scales of saphenous vein grafts and significantly reduced intimal hyperplasia area and thickness.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Juan Lopez-Mattei, Eric H. Yang, Lauren A. Baldassarre, Ali Agha, Ron Blankstein, Andrew D. Choi, Marcus Y. Chen, Nandini Meyersohn, Ryan Daly, Ahmad Slim, Carlos Rochitte, Michael Blaha, Seamus Whelton, Omar Dzaye, Susan Dent, Sarah Milgrom, Bonnie Ky, Cezar Iliescu, Mamas A. Mamas, Maros Ferencik
Summary: Cardio-Oncology is a rapidly growing sub-specialty of medicine, and this Expert Consensus statement aims to fill the gaps in the use of cardiac CT (CCT) in Cardio-Oncology care by summarizing current evidence and providing practice recommendations. The statement is a collaboration of experts from various disciplines, including Cardiology, Radiology, Cardiovascular Multimodality Imaging, Cardio-Oncology, Oncology, and Radiation Oncology.
JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY
(2023)
Article
Cardiac & Cardiovascular Systems
Felipe Pereira Camara de Carvalho, Whady Hueb, Eduardo Gomes Lima, Paulo Cury Rezende, Jaime Paula Pessoa Linhares Filho, Rosa Maria Rahmi Garcia, Paulo Rogerio Soares, Jose Antonio Franchini Ramires, Roberto Kalil Filho
Summary: This study compared and evaluated the long-term prognosis of patients with multivessel CAD with or without myocardial ischemia. The results showed that myocardial ischemia was not associated with worse prognosis in patients with multivessel CAD.
AMERICAN HEART JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Judith S. Hochman, Rebecca Anthopolos, Harmony. R. Reynolds, Sripal Bangalore, Yifan Xu, Sean M. O'Brien, Stavroula Mavromichalis, Michelle Chang, Aira Contreras, Yves Rosenberg, Ruth Kirby, Balram Bhargava, Roxy Senior, Ann Banfield, Shaun G. Goodman, Renato D. Lopes, Radoslaw Pracon, Jose Lopez-Sendon, Aldo Pietro Maggioni, Jonathan D. Newman, Jeffrey S. Berger, Mandeep S. Sidhu, Harvey D. White, Andrea B. Troxel, Robert A. Harrington, William E. Boden, Gregg W. Stone, Daniel B. Mark, John A. Spertus, David J. Maron
Summary: The ISCHEMIA trial compared the outcomes of initial invasive strategy versus initial conservative strategy in patients with chronic coronary disease and moderate or severe ischemia. The trial found no major difference in most outcomes, but there was lower risk of cardiovascular mortality and higher risk of noncardiovascular mortality with the invasive strategy.
Letter
Cardiac & Cardiovascular Systems
Fernanda A. Justo, Bruna de Deus Herrera, Paulo R. Soares, Thiago L. Scudeler
CLINICAL CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Rafael Amorim Belo Nunes, Leandro Menezes Alves da Costa, Thiago Luis Scudeler, Marcelo Jose de Carvalho Cantarelli, Helio Castello, Gustavo Bernardes de Figueiredo Oliveira, Alvaro Avezum Junior
Summary: In this study, we compared the long-term cardiovascular outcomes of patients with severe aortic stenosis and coronary artery disease (CAD) who received either medical treatment alone or percutaneous coronary intervention (PCI) coupled with medical therapy before or during transcatheter aortic valve implantation (TAVI). Through the analysis of a large multinational electronic health record network, we found that the 5-year probability of death, acute coronary syndrome, and ischemic stroke did not significantly differ between the two groups. These findings suggest that medical treatment alone may be as effective as PCI combined with TAVI for patients with CAD and severe aortic stenosis.
CORONARY ARTERY DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Hsu Po Chiang, Miguel O. D. Aguiar, Bruno G. Tavares, Vitor E. E. Rosa, Sergio Barros Gomes, Mucio T. Oliveira, Alexandre Soeiro, Jose C. Nicolau, Henrique B. Ribeiro, Joao C. Sbano, Carlos E. Rochitte, Roberto Kalil Filho, Jose A. F. Ramires, Thomas R. Porter, Wilson Mathias, Jeane M. Tsutsui
Summary: The use of diagnostic ultrasound-guided high mechanical index impulses improves myocardial perfusion in acute ST segment elevation myocardial infarction. This study assessed the effect of sonothrombolysis on left ventricular diastolic dysfunction (DD) and left atrial (LA) mechanics. The results showed that sonothrombolysis is associated with better DD grade and LA mechanics, reducing the likelihood of LA remodeling.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
(2023)
Article
Multidisciplinary Sciences
Omar Asdrubal Vilca Mejia, Renato Cesar de Souza, Aritania S. Santos, Bianca Meneghini, Ana Carolina Carvalho Silva, Guilherme Visconde Brasil, Vagner Oliveira Carvalho Rigaud, Luis Roberto Palma Dallan, Luiz Felipe Pinho Moreira, Luiz Augusto Ferreira Lisboa, Luis Alberto Oliveira Dallan, Jorge Kalil, Edecio Cunha-Neto, Ludmila Rodrigues Pinto Ferreira, Fabio Biscegli Jatene
Summary: This study performed miRNA profiling of patients before coronary artery bypass grafting (CABG) surgery to identify miRNAs that could predict Vasoplegic syndrome (VS). Six miRNAs were increased and two were decreased in patients who developed VS compared to those who did not. The combination of hsa-miR-30d-5p and hsa-miR-770-5p showed high accuracy in predicting VS.
SCIENTIFIC REPORTS
(2023)
Article
Cardiac & Cardiovascular Systems
Raul Armando Micalay, Gabrielle Barbosa Borgomoni, Anny Katia Puchalski Micalay, Jose Carlos Arteaga Camacho, Luis Roberto Palma Dallan, Luiz Augusto Ferreira Lisboa, Luis Alberto de Oliveira Dallan, Omar Asdrubal Vilca Mejia
Summary: This study compared the immediate outcomes of patients undergoing single arterial graft versus multiple arterial grafts coronary artery bypass grafting surgery. The results showed that the multiple arterial grafts group had a higher incidence of pulmonary complications and deep sternal wound infection, and glycosylated hemoglobin had a greater influence on the infectious outcome.
ARQUIVOS BRASILEIROS DE CARDIOLOGIA
(2023)
Article
Cardiac & Cardiovascular Systems
Anderson C. Armstrong, Rodrigo Cerci, Matthew B. Matheson, Tiago Magalhaes, Satoru Kishi, Jeff Brinker, Melvin E. Clouse, Carlos E. Rochitte, Christopher Cox, Joao A. C. Lima, Armin Arbab-Zadeh
Summary: Coronary artery calcium (CAC) scanning has limited value for risk stratification in symptomatic patients. This study aimed to identify and validate predictors of significant coronary obstruction (SCO) in symptomatic patients without CAC. Results showed that an algorithm to assess the risk of SCO in patients without CAC effectively predicted the risk of significant coronary obstruction.
ARQUIVOS BRASILEIROS DE CARDIOLOGIA
(2023)
Article
Cardiac & Cardiovascular Systems
Lucas T. Pires, Vitor E. E. Rosa, Thamara C. Morais, Juliana H. S. M. Bello, Joao R. C. Fernandes, Antonio de Santis, Mariana P. Lopes, Paulo S. Gutierrez, Carlos E. Rochitte, Cesar H. Nomura, Pablo M. A. Pomerantzeff, Roney O. Sampaio, Flavio Tarasoutchi
Summary: This study aimed to investigate the changes in postoperative ventricular remodeling and the influence of preoperative myocardial fibrosis on the reversal of remodeling in patients with aortic regurgitation (AR) or aortic stenosis (AS). The results showed that after surgery, left ventricle mass index decreased in both groups, while late gadolinium enhancement indices remained stable. Preoperative indexed extracellular volume (iECV) and extracellular volume (ECV) were greater in the AR group. Postoperative iECV decreased in both groups but was still greater in the AR group. Postoperative ECV remained stable in the AR group and increased in the AS group.
EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING
(2023)
Article
Cardiac & Cardiovascular Systems
Luis Henrique Wolff Gowdak, Isolmar Tadeu Schettert, Carlos Eduardo Rochitte, Leonardo P. de Carvalho, Marcelo Luiz Campos Vieira, Luis Alberto Oliveira Dallan, Sergio Almeida de Oliveira, Luiz Antonio Machado Cesar, Jose Oscar Reis Brito, Luiz Cesar Guarita-Souza, Antonio Carlos Campos de Carvalho, Jose Eduardo Krieger
Summary: In this study, we investigated the additional reduction of regional stress-induced myocardial ischemia (SIMI) in patients undergoing incomplete coronary artery bypass graft surgery (CABG) when autologous bone marrow-derived cells (BMC) were injected into non-revascularized segments. The results showed that BMC treatment led to additional improvement in regional SIMI after CABG, suggesting that BMC could be a potential adjuvant therapy for patients with coronary artery disease.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Biology
Matheus de Oliveira Laterza Ribeiro, Vinicius Machado Correia, Lucas Lentini Herling de Oliveira, Paulo Rogerio Soares, Thiago Luis Scudeler
Summary: Despite improvements in diagnostic and therapeutic options, ischemic heart disease remains a major cause of death worldwide. Researchers in biotechnology and tissue engineering have developed novel strategies such as stem cells and nanotechnology to reduce cardiovascular events. Advances in bioengineering have also led to new diagnostic techniques and biomarkers for atherosclerosis. This review explores innovative invasive and noninvasive modalities for coronary disease characterization, as well as technological revascularization procedures and pharmacological agents targeting residual cardiovascular risks.
Article
Medicine, General & Internal
Henrique Trombini Pinesi, Fernando Rabioglio Giugni, Bruna Romanelli Scarpa Matuck, Fabio Grusnpun Pitta, Cibele Larrosa Garzillo, Eduardo Gomes Lima, Roberto Kalil Filho, Carlos Vicente Serrano Junior
Summary: This study aimed to evaluate the correlation of cardiac troponin T levels with comorbidities and in-hospital outcomes in patients with coronavirus disease-2019 in Brazil. Data from a cohort of 3,596 patients were reviewed and it was found that elevated cardiac troponin T was associated with several comorbidities, biomarkers, and clinical outcomes. However, it was not an independent marker of in-hospital mortality.
REVISTA DA ASSOCIACAO MEDICA BRASILEIRA
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Thais Pinheiro Lima, Antonildes N. N. Assuncao, Marcio Sommer Bittencourt, Gabriela Liberato, Armin Arbab-Zadeh, Joao A. C. Lima, Carlos Eduardo Rochitte
Summary: This study evaluated the long-term prognosis of coronary CTA scores for cardiovascular events in symptomatic patients with suspected CAD. The results showed that coronary CTA scores based on plaque burden and characteristics can provide long-term prognostic information, especially the distribution of non-calcified plaques is associated with increased cardiovascular risk for late events.
EUROPEAN RADIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Cristiano F. Pisani, Felipe Kalil Alexandre, Rodrigo Kulchetscki, Marina Mayrink, Tan Chen Wu, Muhieddine Chokr, Carina Hardy, Sissy Lara Melo, Carlos Rochitte, Cesar Nomura, Mauricio Scanavacca
Summary: The integration of CMR and EAM software is effective in aiding VT ablation and achieving positive outcomes in patients with scar-related VT.
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)