Cardiac Critical Care
#ESCCongress – RCT | In comatose survivors of out-of-hospital cardiac arrest, targeting a mean arterial blood pressure of 77 mmHg vs. 63 mmHg did not result in different outcomes.
29 Aug, 2022 | 12:13h | UTCBlood-Pressure Targets in Comatose Survivors of Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Trial finds no benefit of raising blood pressure target in post cardiac arrest patients – European Society of Cardiology
Commentary: Blood Pressure Targets Show No Benefit in Comatose Survivors of Cardiac Arrest – HCPLive
Commentary on Twitter
BOX BP: This randomized trial found no difference in the rate of death or severe disability/coma when patients following out-of-hospital cardiac arrest were managed with higher or lower blood pressure targets. #ESCCongress https://t.co/5qOMtiPSck pic.twitter.com/QOl5KetTvn
— NEJM (@NEJM) August 27, 2022
#ESCCongress – RCT | In comatose survivors of out-of-hospital cardiac arrest, a restrictive vs. a liberal oxygenation strategy resulted in similar incidences of death, severe disability, and coma.
29 Aug, 2022 | 12:12h | UTCOxygen Targets in Comatose Survivors of Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Restrictive oxygenation in post cardiac arrest patients is not harmful – European Society of Cardiology
Commentary on Twitter
BOX Oxygen: This RCT found no difference in the rate of death or severe disability/coma when mechanically ventilated patients following out-of-hospital cardiac arrest were managed with higher or lower oxygenation targets. #ESCCongress https://t.co/qqtd4SyVrl pic.twitter.com/q73gqSuAn4
— NEJM (@NEJM) August 27, 2022
Long-term results of a RCT | Vasopressin and methylprednisolone did not improve outcomes in patients with in-hospital cardiac arrest.
24 Aug, 2022 | 14:15h | UTC
Left ventricular assist devices: a primer for the non-mechanical circulatory support provider.
17 Aug, 2022 | 13:51h | UTC
Acute pericarditis: update.
16 Aug, 2022 | 13:28h | UTCAcute Pericarditis: Update – Current Cardiology Reports
Temporal changes, patient characteristics, and mortality, according to microbiological cause of infective endocarditis: a nationwide study.
12 Aug, 2022 | 14:38h | UTC
Review | How can assessing hemodynamics help to assess volume status?
11 Aug, 2022 | 12:21h | UTCHow can assessing hemodynamics help to assess volume status? – Intensive Care Medicine (free for a limited period)
Changes to the European Resuscitation Council guidelines for adult resuscitation.
9 Aug, 2022 | 12:50h | UTCChanges to the European Resuscitation Council guidelines for adult resuscitation – BJA Education
Related:
2021 Resuscitation Guidelines – Resuscitation Council UK
RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.
27 Jul, 2022 | 12:21h | UTCEffect of High- vs Low-Dose Tranexamic Acid Infusion on Need for Red Blood Cell Transfusion and Adverse Events in Patients Undergoing Cardiac Surgery: The OPTIMAL Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
https://twitter.com/JAMA_current/status/1551960541488451586
Cohort Study | Incidence, associated risk factors, and outcomes of postoperative arrhythmia after upper gastrointestinal surgery.
26 Jul, 2022 | 11:52h | UTCCommentary: Incidence and Outcomes of Postop Arrhythmia After Upper GI Surgery – American College of Cardiology
Commentary on Twitter
This cohort study of 1,210 patients undergoing upper GI surgery found new-onset postop atrial fibrillation (AF) was associated with increased in-hospital mortality, prolonged ICU stay, and development of permanent or paroxysmal AF. https://t.co/8Bxq5uGuqa
— JAMA Network Open (@JAMANetworkOpen) July 21, 2022
RCT | In patients undergoing cardiac surgery with cardiopulmonary bypass, using a 4% albumin solution for volume expansion did not reduce adverse events compared to ringer acetate.
21 Jul, 2022 | 13:32h | UTCEffect of 4% Albumin Solution vs Ringer Acetate on Major Adverse Events in Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Albumin vs Crystalloid Fluid for Resuscitation in Cardiac Surgery: New Evidence and Arguments in the Timeless Debate – JAMA (free for a limited period)
Commentary: Trial does not support albumin as primer, volume replacement solution in CABG – Healio (free registration required)
Commentary on Twitter
https://twitter.com/JAMA_current/status/1549424077298868225
High-sensitivity cardiac troponin and the 2021 AHA/ACC Guidelines for the evaluation and diagnosis of acute chest pain.
20 Jul, 2022 | 12:29h | UTCHigh-Sensitivity Cardiac Troponin and the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guidelines for the Evaluation and Diagnosis of Acute Chest Pain – Circulation (free for a limited period)
Commentary on Twitter
#Primer HS Cardiac Troponin & Guidelines for Evaluation and Diagnosis of Acute Check Pain #AHAJournals https://t.co/avcm6LEbgb pic.twitter.com/zs8yRe6u1y
— Circulation (@CircAHA) July 13, 2022
Review | “No-Reflow” phenomenon.
20 Jul, 2022 | 11:58h | UTC“No-Reflow” Phenomenon: A Contemporary Review – Journal of Clinical Medicine
M-A (mostly of observational studies) | Catheter-directed thrombolysis vs. systemic anticoagulation alone for submassive pulmonary embolism.
15 Jul, 2022 | 12:39h | UTC
Review | Temporary mechanical circulatory support: devices, outcomes, and future directions.
14 Jul, 2022 | 12:23h | UTC
Retrospective Cohort Study | New-onset atrial fibrillation in intensive care: epidemiology and outcomes.
13 Jul, 2022 | 11:11h | UTC
Commentary on Twitter
What are the long-term impacts of new onset AFIB in ICU patients?
RISK-II database >20,000 patients, >248 English ICUs:
– increased risk of in hospital mortality
– increased risk of readmiaaion for AFIB/HF/stroke!https://t.co/2Gec2XpwPv pic.twitter.com/ZXyiGPAtWf— EHJACVC Editor-in-Chief (@EHJACVCEiC) July 11, 2022
Under a https://creativecommons.org/licenses/by-nc/4.0/ License
Navigating a Complicated World | Commentary of the new AHA/ACC Chest Pain Guidelines.
12 Jul, 2022 | 12:40h | UTCNews Release: First-Ever Guideline Focused Solely on Chest Pain Evaluation, Diagnosis Released
Guideline Hub: Guideline for the Evaluation and Diagnosis of Chest Pain
Key Points: 2021 AHA/ACC Chest Pain Guideline – American College of Cardiology
Commentary: New Chest Pain Guidelines Out at Last: Most Tests Have a Role – TCTMD
AHA Scientific Statement | Escalating and de-escalating temporary mechanical circulatory support in cardiogenic shock.
8 Jul, 2022 | 12:05h | UTCTop Things to Know: Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock– American Heart Association
Commentary: Guiding Cardiogenic Shock Management: Filling in the (Wide) Data Gaps – American Heart Association
M-A | Anticoagulants for thrombosis prophylaxis in acutely ill patients admitted to hospital.
5 Jul, 2022 | 12:19h | UTCGuideline Synopsis | Evaluation and diagnosis of chest pain.
4 Jul, 2022 | 12:49h | UTCEvaluation and Diagnosis of Chest Pain – JAMA (free for a limited period)
Original Guideline:
News Release: First-Ever Guideline Focused Solely on Chest Pain Evaluation, Diagnosis Released
Guideline Hub: Guideline for the Evaluation and Diagnosis of Chest Pain
Key Points: 2021 AHA/ACC Chest Pain Guideline – American College of Cardiology
Commentary: New Chest Pain Guidelines Out at Last: Most Tests Have a Role – TCTMD
RCT: Effects of early Empagliflozin initiation on diuresis and kidney function in patients with acute decompensated heart failure.
30 Jun, 2022 | 11:24h | UTC
RCT: Prothrombin complex concentrate vs. plasma for post–cardiopulmonary bypass coagulopathy and bleeding.
30 Jun, 2022 | 10:50h | UTCProthrombin Complex Concentrate vs Plasma for Post–Cardiopulmonary Bypass Coagulopathy and Bleeding: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)
Commentary on Twitter
https://twitter.com/JAMASurgery/status/1542176079728738305
Retrospective Cohort Study: Atrial fibrillation after surgery is linked to an increased risk of hospitalization for heart failure.
29 Jun, 2022 | 10:52h | UTCOriginal Study: Post-operative atrial fibrillation and risk of heart failure hospitalization – European Heart Journal
Commentary on Twitter
Excited to have been part of this study with @ParagGoyalMD and our @WeillCornell colleagues
We found post-operative AF is associated with a higher long-term risk of HF hospitalization 👇https://t.co/X9eh2D9V71 @ESC_Journals @WCMCNeurology pic.twitter.com/5HlsGfOq1j
— Hooman Kamel (@hoomankamel) June 29, 2022
Epidemiology of myocarditis and pericarditis following mRNA vaccination by vaccine product, schedule, and interdose interval among adolescents and adults in Ontario, Canada.
27 Jun, 2022 | 11:51h | UTCCommentary: Young Men’s Myocarditis Risk 5 Times Higher With Moderna vs Pfizer Vax — But Canadian study finds that 8-week interval before second dose attenuates some of the risk – MedPage Today (free registration required)
M-A: Hypothermic vs. normothermic temperature control after cardiac arrest.
24 Jun, 2022 | 11:51h | UTCHypothermic versus Normothermic Temperature Control after Cardiac Arrest – NEJM Evidence
Related:
ERC-ESICM guidelines on temperature control after cardiac arrest in adults – Intensive Care Medicine (if the link is paywalled, try this one)