Cardiac Critical Care | Links Medicus Content Curation & Alerts in Medicine

Our new #metaanalysis by @wannabehawkeye et al. found that Myocardial injury (asympt Trop↗️) after non❤️surg (MINS) is associated with a 25%✝️ and 21% of major ❤️events at 1 year!! However, MINS defintions across studies show high variation! https://t.co/PQdG1eWuwC #SoMe4Surgery

— BJS Open (@BjsOpen) May 1, 2023

Ischemia with nonobstructive coronary artery disease: concept, assessment, and management

19 Apr, 2023 | 13:17h | UTC

Ischemia With Nonobstructive Coronary Artery Disease: Concept, Assessment, and Management – JACC: Asia

MINOCA from A to Z – American College of Cardiology

Guidelines for the Management of Myocardial Infarction/injury with Non-obstructive Coronary Arteries (MINOCA)

Prognosis and Predictors of Mortality in Patients Suffering Myocardial Infarction With Non‐Obstructive Coronary Arteries

Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association

The What, When, Who, Why, How and Where of Myocardial Infarction With Non-Obstructive Coronary Arteries (MINOCA) – Circulation Journal

Systematic Review of Patients Presenting With Suspected Myocardial Infarction and Nonobstructive Coronary Arteries – Circulation

Nonobstructive Versus Obstructive Coronary Artery Disease in Acute Coronary Syndrome: A Meta‐Analysis – Journal of the American Heart Association

Global Survey | Incidence, management and prognosis of esophageal fistula after atrial fibrillation catheter ablation

19 Apr, 2023 | 13:14h | UTC

A worldwide survey on incidence, management and prognosis of oesophageal fistula formation following atrial fibrillation catheter ablation: The POTTER-AF study – European Heart Journal

Commentary: Esophageal Fistula Still a Rare but Deadly Complication of AF Ablation: POTTER-AF – TCTMD

Commentary from the author on Twitter

🌎The POTTER-AF study
➡️published #EHJ online
➡️138 oesophageal fistulas
➡️incidence 0,025% overall, 🔥RF 0.038%, ❄️CRYO 0.0015%
☠️Mortality: 90% if treated conservative!
🙏V. Schmidt, @KeelaniAhmad @ChristianHeeger @AGEP_DGK @ESC_Journals #UKSH https://t.co/jTmC36wlYQ #EPeeps pic.twitter.com/3lntY6lR6H

— Roland Tilz (@RolandTilz) April 16, 2023

Review | Management of cardiogenic shock after acute coronary syndromes

18 Apr, 2023 | 13:27h | UTC

Management of cardiogenic shock after acute coronary syndromes – BJA Education

Position Statement | Neuroprognostication in the post cardiac arrest patient

10 Apr, 2023 | 13:46h | UTC

Neuroprognostication in the Post Cardiac Arrest Patient: A Canadian Cardiovascular Society Position Statement – Canadian Journal of Cardiology

Review | Cardiogenic shock classification and associated mortality risk

10 Apr, 2023 | 13:42h | UTC

Cardiogenic Shock Classification and Associated Mortality Risk – Mayo Clinic Proceedings

RCT | Routine invasive approach fails to benefit frail older adults with non–ST-segment elevation acute myocardial infarction

6 Apr, 2023 | 13:23h | UTC

Effect of Routine Invasive vs Conservative Strategy in Older Adults With Frailty and Non–ST-Segment Elevation Acute Myocardial Infarction: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Routine invasive strategy not associated with improved outcomes in older adults with frailty and non-ST segment elevation acute myocardial infarction – Physician’s Weekly

Commentary on Twitter

A routine invasive strategy did not improve clinical outcomes in frail patients with NSTEMI. Future trials should confirm whether a policy of watchful observation rather than routine invasive management may be effective for these patients. https://t.co/N4hAXg5fid

— JAMA Internal Medicine (@JAMAInternalMed) March 6, 2023

Cohort Study | Multimodal prediction of favorable outcome after cardiac arrest

6 Apr, 2023 | 13:01h | UTC

Multimodal Prediction of Favorable Outcome After Cardiac Arrest: A Cohort Study – Critical Care Medicine

Cohort Study | Maternal cardiac arrest: occurrence, survival, and influencing factors

6 Apr, 2023 | 12:59h | UTC

Cardiac Arrest During Delivery Hospitalization: A Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries:

Cardiac Arrest During Delivery Hospitalization – American College of Cardiology

Cardiac Arrest During Childbirth Is Rare, But Some Women Face Higher Risks – HealthDay

Commentary on Twitter

Study of pregnant women hospitalized during delivery found #CardiacArrest occurred in 1 in 9k deliveries, higher than other reported rates. More common in older or Black patients or persons w/ #Medicare or underlying conditions: https://t.co/ko1K7NFaPi. @CDCgov pic.twitter.com/23CxVi138k

— Annals of Int Med (@AnnalsofIM) March 15, 2023

M-A | Coronary vasospasm in ANOCA patients: Prevalence, clinical features and prognosis

3 Apr, 2023 | 13:21h | UTC

Meta-analysis and systematic review of coronary vasospasm in ANOCA patients: Prevalence, clinical features and prognosis – Frontiers in Cardiovascular Medicine

Update | Optimal oxygen and mean arterial blood pressure targets after cardiac arrest

31 Mar, 2023 | 13:41h | UTC

Optimal oxygen and mean arterial blood pressure targets after cardiac arrest – Intensive Care Medicine

Commentary on Twitter

O2/MAP after CA? NO clear benefit from deviating from
🩸MAP >65-70 mmHg, if impaired 🧠autoregulation as high as 85-90
💨 PaO2 75-97 mmHg; more liberal O2 may be best if reliable monitoring difficult (ie transport or in ED)
More evidence needed (coming)
🖇️ https://t.co/ujsz09tDSJ pic.twitter.com/fft8Q1turt

— Intensive Care Medicine (@yourICM) March 21, 2023