General description of procedure, equipment, technique Ventricular assist devices (VAD) can be used to support the left ventricle (LVAD), right ventricle (RVAD), or both ventricles (BiVAD). VAD were developed to support patients with circulatory failure with failing organ systems and/ or near death to sustain life until cardiac transplantation became feasible. The refinement of the…
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You’re Reading an Archived Article: For up-to-date Diagnosis & Disease information, visit this article on acute heart failure. I. Acute Heart Failure: What every physician needs to know. Acute heart failure (AHF), also known as acute decompensated heart failure or cardiac failure, is not a single disease entity, but rather a syndrome of the worsening…
General (including evidence of efficacy) The ability to deliver safe and effective moderate sedation is important in the performance of cardiac catheterization. The goals of procedural sedation are to ease anxiety and discomfort without compromising patient cooperation and ventilation. Moderate sedation in the catheterization laboratory is most commonly achieved with a combination of a short-acting…
General description of procedure, equipment, technique Saphenous vein graft (SVG) percutaneous coronary interventions (PCI) have important differences compared to native coronary artery interventions: 1. Finding the grafts may be difficult and also engaging, and delivering equipment can be challenging due to poor guide catheter support. 2. SVGs have higher risk for distal embolization and periprocedural myocardial infarction.…
General description of procedure, equipment, technique Since the first documented successful case of the aortocoronary bypass grafting by Dr. V. Kolesov in Leningrad in 1964, coronary artery bypass grafting (CABG) has prolonged lives and improved quality of life of countless patients worldwide. The primary objective of CABG is to provide unobstructed blood flow to the…
I. Pulmonary Hypertension: What every physician needs to know. Pulmonary hypertension is defined as mean pulmonary arterial pressure of 25 mm Hg or greater. Pulmonary hypertension therefore is a description rather than a diagnosis. Once pulmonary hypertension is detected, careful diagnostic steps are necessary to ensure accurate diagnosis, followed by appropriate evidence-based treatment. Elevation of…
I. Heart Failure: What every physician needs to know. Heart failure prevalence continues to increase. Currently over 6 million Americans have heart failure. This is partly related to aging of the population; better care of acute cardiovascular diseases, where now patients survive but with poor cardiac function; and also the worsening risk factor profile in…
General description of procedure, equipment, technique What is cardiopulmonary exercise testing? Cardiopulmonary exercise (CPX) testing is a provocative test that combines standard methods of electrocardiogram (ECG) stress testing with indices of gas exchange. The exercise component entails the same challenges and mechanisms as standard ECG stress testing (i.e., a progressive exercise stimulus [usually on a…
General description of procedure, equipment, technique Symptomatic hypertrophic cardiomyopathy (HCM) is due to significant obstruction to flow in the left ventricular outflow tract (LVOT). This obstruction results from a thickened interventricular septum (IVS) and systolic anterior motion (SAM) of the mitral valve (most commonly the anterior mitral apparatus). Mitral regurgitation resulting from SAM also contributes…
General description of procedure, equipment, technique Transcatheter repair of the mitral valve (MV) for severe mitral regurgitation (MR) with the MitraClip system (Abbott Vascular, Santa Clara, CA) is a novel, entirely percutaneous procedure requiring a transfemoral venous access (Figure 1). The system consists of a steerable guide catheter, which is inserted through a femoral access…
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