Cardiac Surgery
Management of malignant pleural effusion: challenges and solutions
23 Jul, 2017 | 23:38h | UTCReview: Management of malignant pleural effusion: challenges and solutions – Cancer Management and Research (free)
Acute Aortic Syndromes: Diagnosis and Management
23 Jul, 2017 | 16:27h | UTCSummary with 10 key points to remember: Acute Aortic Syndromes: Diagnosis and Management – American College of Cardiology, Latest in Cardiology (free)
Original Article: Acute aortic syndromes: diagnosis and management, an update – European Heart Journal (link to abstract – $ for full-text)
The Evolving Story of Overlapping Surgery
23 Jul, 2017 | 14:09h | UTCViewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)
Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)
This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.
Diagnosis and treatment of cystic lung disease
21 Jul, 2017 | 18:15h | UTCReview: Diagnosis and treatment of cystic lung disease – Korean Journal of Internal Medicine (free)
Three-dimensional echocardiography in adult congenital heart disease
18 Jul, 2017 | 22:39h | UTCClinical Review: Three-dimensional echocardiography in adult congenital heart disease – Korean Journal of Internal Medicine (free)
Detecting human coronary inflammation by imaging perivascular fat
13 Jul, 2017 | 20:47h | UTCDetecting human coronary inflammation by imaging perivascular fat – Science Translational Medicine (free)
Commentaries: Scan finds heart’s ticking time bombs – BBC News (free) AND New way of reading scans can predict heart attack risk, research finds – The Guardian (free)
Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality
13 Jul, 2017 | 20:46h | UTCPericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality – Circulation (link to abstract – $ for full-text)
Commentary: Pericarditis as a Marker of Occult Cancer – American College of Cardiology, Latest in Cardiology (free)
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)
Source: Critical Care Reviews Newsletter
Prognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain
3 Jul, 2017 | 16:57h | UTCPrognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain – Circulation (link to abstract – $ for full-text)
Commentary: CT angiography appears better at predicting future risk for patients with chest pain – Massachusetts General Hospital, via ScienceDaily (free)
Source: EvidenceAlerts (free resource to find articles of interest)
“The most important result indicated that the ability of coronary CTA to identify nonobstructive coronary artery disease – a less-than-70-percent narrowing of a coronary artery – identifies an at-risk group of patients not found by functional testing” (from ScienceDaily)
CABG vs DES for Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD
29 Jun, 2017 | 16:12h | UTCComparison of Outcome of Coronary Artery Bypass Grafting Versus Drug-Eluting Stent Implantation for Non–ST-Elevation Acute Coronary Syndrome – The American Journal of Cardiology (link to abstract – $ for full-text)
Source: EvidenceAlerts
In patients with Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD, CABG significantly reduced the risk of death from any causes, myocardial infarction, or stroke compared with PCI with drug-eluting stents
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Trends and Outcomes of Off-Label Use of Transcatheter Aortic Valve Replacement
25 Jun, 2017 | 18:23h | UTCThe JAMA Network – For the Media: Study Examines Use, Outcomes of Valve Replacement Procedure Performed for Off-Label Indications
Commentary: Outcomes of Off-Label Use of TAVR – American College of Cardiology, Latest in Cardiology (free)
“A randomized controlled trial directly comparing TAVR with surgery among specific subsets of off-label populations is needed to provide convincing evidence, and significant ‘off-label’ use captured in registries such as this should motivate such prospective randomized studies” (from Latest in Cardiology).
Trans-catheter aortic valve implantation
23 Jun, 2017 | 20:38h | UTCReview: Trans-catheter aortic valve implantation: Contemporary practice and the future – Cardiology Journal (free)
Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis
23 Jun, 2017 | 01:35h | UTCOriginal article: 2016 The American Association for Thoracic Surgery (AATS) consensus guidelines: Surgical treatment of infective endocarditis: Executive summary (link to abstract – $ for full-text)
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Thirty-Year Mortality After Coronary Artery Bypass Graft Surgery
7 Jun, 2017 | 15:05h | UTCThirty-Year Mortality After Coronary Artery Bypass Graft Surgery: A Danish Nationwide Population-Based Cohort Study – Circulation: Cardiovascular Quality and Outcomes (link to abstract – $ for full-text)
Commentary: Many good years after heart bypass surgery, but something happens after ten years – Aarhus University, via Science Daily (free)
“For patients who make it through the first month after the operation is close to that of the population in general. But 8-10 years after a heart bypass operation, mortality increases by 60-80 per cent” (from Science Daily)
Recommendations for the Use of Mechanical Circulatory Support
31 May, 2017 | 16:37h | UTCSee also: News release (free) AND Top Ten Things to Know (free PDF)
Related: Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support: A Scientific Statement From the American Heart Association (free PDF) AND CPR in Patients With Mechanical Circulatory Support – American College of Cardiology, Latest in Cardiology(free)
Management of pericardial disease
30 May, 2017 | 15:34h | UTCA New Renaissance in Pericardial Diseases – Progress in Cardiovascular Diseases (special issue with series of review articles on the management of pericardial disease).
Source: Hospital Medicine Virtual Journal Club
1 – Introduction: A New Renaissance in Pericardial Diseases (free)
2 – Structure and Anatomy of the Human Pericardium (free)
3 – Pathophysiology of the Pericardium (free)
4 – Acute Pericarditis (free)
5 – Recurrent Pericarditis (free)
6 – Constrictive Pericarditis: A Practical Clinical Approach (free)
7 – Pericardial Effusions: Causes, Diagnosis, and Management (free)
8 – Pericardial Masses, Cysts and Diverticula: A Comprehensive Review Using Multimodality Imaging (free)
9 – Congenital Absence of the Pericardium (free)
10 – Surgical Management of Pericardial Diseases (free)
Complete versus culprit-only revascularisation in ST elevation myocardial infarction with multi-vessel disease
25 May, 2017 | 14:46h | UTCComplete versus culprit-only revascularisation in ST elevation myocardial infarction with multi-vessel disease – Cochrane Library (link to abstract – $ for full-text) (RT @Gas_Craic see Tweet)
“Compared with culprit-only intervention, the complete revascularisation strategy may be superior due to lower proportions of long-term cardiovascular mortality, long-term revascularisation, and long-term non-fatal myocardial infarction, but these findings are based on evidence of very low quality”
Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support
24 May, 2017 | 14:40h | UTCSee also: News release (free) AND Top Ten Things to Know (free PDF)
Reducing Recurrent Stroke With PFO Closure
19 May, 2017 | 18:00h | UTCFinally, Success Reducing Recurrent Stroke With PFO Closure – Medscape (free registration required)
Two randomized trials presented at the 3rd European Stroke Organization Conference (ESOC) 2017 showed that in carefully selected stroke patients in whom Patent Foramen Oval (PFO) was suspected to be a cause of their strokes, a reduction in recurrent stroke was observed with PFO closure.
Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing
11 May, 2017 | 18:37h | UTCMeta-Analysis of Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing – Journal of The American College of Cardiology (link to abstract – $ for full-text) (source: EvidenceAlerts)
Related recent meta-analysis: Percutaneous Coronary Intervention Using Drug-Eluting Stents Versus Coronary Artery Bypass Grafting for Unprotected Left Main Coronary Artery Stenosis: A Meta-Analysis of Randomized Trials – Circulation: Cardiovascular Interventions (free) AND Percutaneous intervention versus coronary artery bypass graft surgery in left main coronary artery stenosis: a systematic review and meta-analysis – BMC Medicine (free)
PCI with drug-eluding stents seems to be a safe alternative to CABG in Unprotected Left Main Coronary Artery Stenosis, but it is associated with higher rates of repeat revascularization.