Abstract:
BACKGROUND:The effects of left ventricular (LV) diastolic function are well known in cardiac surgery, but unclear in transcatheter aortic valve implantation (TAVI). The objective of this study was to exam- ine the association of preoperative LV diastolic function with medium to long-term outcomes of TAVI. METHODS:Eighty patients who underwent TAVI were classified into grades I, II and III based on pre- operative LV diastolic function. Findings related to cardiovascular outcomes after TAVI were extracted retrospectively from clinical and echocardiographic data and relationships with diastolic function were examined. RESULTS:The average follow-up was 529 days (interquartile range {IQR] 358-741 days). Cardiovascu- lar events occurred in 17 cases, including 6 deaths, and were significantly associated with Euro II score (p = 0.043), albumin level (p = 0.026), coronary artery disease (CAD) (p = 0.017), and diastolic func- tion (p < 0.001). The 360-day event-free rates were 89.5%, 89.5% and 37.5% for grades I, II and III (p = 0.00013). Median event-free survival (EFS) in grade III cases was 180 days. In a Cox propor- tional hazard model, LV diastolic dysfunction (hazard ratio [HR] 3.99, 95% confidence interval [CI] 1.35-11.80, p = 0.012) and low albumin (HR 4.73, 95% CI 1.42-15.80, p = 0.012) were significant independent predictors of reduced EFS. CONCLUSIONS:Medium to long-term outcomes of TAVI were poorer in patients with deteriorated LV diastolic function, and outcomes in grade III cases were significantly worse than those in grade I and II cases. Preoperative LV diastolic function may be useful in prediction of outcomes after TAVI.
journal_name
Cardiol Jjournal_title
Cardiology journalauthors
Kayama S,Aratake S,Sawamura S,Watanabe Y,Kozuma Kdoi
10.5603/CJ.a2018.0005subject
Has Abstractpub_date
2019-01-01 00:00:00pages
29-35issue
1issn
1897-5593pii
VM/OJS/J/53975journal_volume
26pub_type
杂志文章abstract:BACKGROUND:The meta-analysis was aimed to compare the long time (> 2 year) clinical outcomes of limus-based stents (LBS) and paclitaxel-eluting stents (PES). LBS and PES are two kinds of most common coronary artery stents in clinics. METHODS:Electronic data bases of PubMed, Cochrane, and EMBASE were searched. We inclu...
journal_title:Cardiology journal
pub_type: 杂志文章,meta分析,评审
doi:10.5603/CJ.a2014.0004
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Long non-coding RNAs (lncRNAs) have been confirmed to be involved in the pathologi-cal processes of multiple diseases. However, the characteristic expression of lncRNAs in peripheral blood of coronary artery disease (CAD) patients and whether some of these lncRNAs can be used as diagnostic biomarkers for CAD...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0133
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Beta-catenin has been implicated in cell-cell communication in a wide variety of developmental and physiological processes. Defective Wnt signaling could result in various cardiac and vascular abnormalities. Little is known regarding Wnt/frizzled pathway in cardiomyocyte apoptosis. METHODS:In this study, th...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2016.0087
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Adult patients with congenital heart disease (CHD) usually find their exercise capacity satisfactory. However, objective evaluation is important for diagnostic and prognostic purposes. The aim of this study was to evaluate exercise capacity using cardiopulmonary exercise tests and measurement of serum B-type...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Nutritional risk index (NRI) has been shown to better predict survival than body mass index (BMI) or albumin after several cardiovascular interventions. Under assessment herein is whether NRI can have higher predictive value than conventional parameters for short-term survival after transcatheter aortic valv...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2019.0038
更新日期:2019-04-17 00:00:00
abstract::Due to its constantly growing incidence, obesity is an increasingly serious social and medical problem. Available data on the use of novel oral anticoagulants in morbidly obese and obese patients are very limited. However, we tried to summarize the available knowledge on the use of anticoagulants in this subpopulation...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/CJ.a2015.0054
更新日期:2016-01-01 00:00:00
abstract::Despite advances in pharmacological treatments aimed at a neurohormonal blockade for heart failure, there is still a growing number of patients with advanced symptoms who suffer significant morbidity and mortality. At present the most effective cure for end-stage congestive heart failure is cardiac transplantation. Th...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Pulmonary arterial hypertension is of importance in congenital cardiac surgery as being a significant cause of morbidity and mortality. Although therapy options are limited, inhaled nitric oxide (NO) is used as a standard therapy. The present study aimed to compare inhaled NO and aerosolized iloprost in chil...
journal_title:Cardiology journal
pub_type: 杂志文章,随机对照试验
doi:10.5603/cj.2012.0070
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Awareness of risks associated with radiation exposure to patients and medical staff has significantly increased. It has been reported before that the use of advanced three-dimensional electroanatomical mapping (EAM) system significantly reduces fluoroscopy time, however this study aimed for zero or near zero...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0029
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Distortion of the terminal portion of the QRS in the initial electrocardiogram (ECG) is a strong predictor of adverse outcome in myocardial infarction. Our purpose is to assess the relationship of distortion of QRS and other ECG characteristics with older age. METHODS AND RESULTS:We analysed 634 consecutive...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::A case of a 26-year-old man without continuity of blood flow in the level of the isthmus of the aorta is described. During interventional catheterization, we reconstructed this continuity and implanted a vascular stent. ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Lymphopenia is associated with adverse prognosis in chronic disease states that are related to immune dysregulation. We aimed to determine the association between lymphopenia and mortality in patients presenting to coronary angiography and investigate whether elevated red blood cell distribution width (RDW),...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0141
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:The aim of this study was to assess antiplatelet effect of prasugrel in acute coronary syndrome (ACS) patients with high on-treatment platelet reactivity (HTPR) on clopidogrel, undergoing percutaneous coronary intervention (PCI). METHODS:A prospective, platelet reactivity-guided, parallel-group, open-label ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2014.0026
更新日期:2014-01-01 00:00:00
abstract::Patients with complete interruption of the aortic arch (IAA) very rarely reach late adulthood without having undergone surgical intervention. Only a few cases of IAA in adults have been reported in the medical literature. In this case report, we present a late diagnosis of interrupted aortic arch in a 68 year-old male...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2011.0036
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Osteoprotegerin (OPG) is a member of the tumor necrosis factor superfamily.Recent evidence supports a relationship between serum OPG level and atherosclerosis. The aim of this study was to evaluate the possible association of OPG with the presence of coronary artery disease (CAD), its severity and prognosis ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2013.0071
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Prediction of functional myocardial recovery post acute myocardial infarction should be based not only on flow patency of the infarct related artery (IRA) but also on the quality of microcirculation in at-risk segments. Myocardial blush grade (MBG) is a method of perfusion assessment which has an established...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Cardiac autonomic neuropathy (CAN) is a complication of diabetes mellitus (DM) that is associated with increased mortality. Exercise-based assessment of autonomic function has identified diminished parasympathetic reactivation after exercise in type 2 DM. It is postulated herein, that this would be more prom...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0064
更新日期:2020-05-07 00:00:00
abstract::Dysautonomic syndromes are very common clinical conditions with different presentations and a wide spectrum of mechanisms. Many non-pharmacological and pharmacological interventions have been recommended to treat dysautonomic patients along these years, but the majority of them were not supported by multicenter contro...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/CJ.2014.0093
更新日期:2014-01-01 00:00:00
abstract::A 25 year-old female with a history of Caesarian section ten weeks ago presented with symptoms suggestive of pulmonary embolism. Transthoracic echocardiography revealed a free-floating large thrombus traversing the right atrial cavity. Transesophageal echocardiography confirmed the presence of an unattached thrombus t...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Although atrial fibrillation (AF) ablation is considered a technically challenging procedure, studies on the learning curve of different pulmonary vein isolation (PVI) techniques are limited. We investigated the time-dependent changes in procedural parameters, complication rates, and in the 1-year clinical o...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2014.0085
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The meta-analysis was performed to evaluate the effect of dissection and re-entry (DR) vs. wire escalation (WE) techniques on long-term clinical outcomes in patients with chronic total occlusion (CTO) lesions undergoing percutaneous coronary intervention (PCI). METHODS:Studies were searched in electronic da...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0026
更新日期:2020-02-27 00:00:00
abstract::This study focuses on the role of sex steroids on the libido, sexual life, emotional and physiological heart of men of all ages. Sex steroids play a significant role throughout a man's life, with a gradual decline in old age. The foetal testis secretes testosterone and dehydroepiandrosterone at about nine weeks gestat...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Tolvaptan (TLV) is a useful diuretic for acute decompensated heart failure (ADHF) with fluid overload, but its clinical response varies between patients. The aim of this study is to investigate whether plasma TLV concentrations correlate with the urine volume. METHODS:ADHF inpatients with evidence of fluid ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2016.0055
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:This paper describes the clinical outcomes from a novel direct access arrhythmia monitoring service. METHODS:The study was carried out in the north of Scotland. Data was collected over a 29 month period between 18 June 2008 and 8 November 2010 from consecutive cases from two groups of patients, general prac...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2012.0010
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Mechanical efficiency (ME) refers to the ability of an individual to transfer energy consumed by external work. A decreased ME, could represent an increased energy cost during exercise and may, therefore, be limited in terms of physical activity. This study aimed to compare the influence of two different exe...
journal_title:Cardiology journal
pub_type: 杂志文章,随机对照试验
doi:10.5603/CJ.a2018.0052
更新日期:2019-01-01 00:00:00
abstract::n/a - brief communication. ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2019.0099
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Implantable loop recorders (ILR) are a valuable tool for the investigation of unexplainedsyncopal episodes. The aim of this retrospective single center study was to identify predictive factors for pacemaker implantation in patients with unexplained syncope who underwent ILR insertion. METHODS:One hundred si...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0008
更新日期:2019-01-01 00:00:00
abstract::Flecainide is a class 1C antiarrhythmic drug especially used for the management of supraventricular arrhythmia. In overdose cases, flecainide can induce life treating ventricular arrhythmias and cardiogenic shock. We report the case of a 72-year-old woman admitted to our intensive care unit for a regular monomorphic w...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2013.0035
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The relationship between right ventricle (RV), extracellular matrix (ECM) fibrosis and fibrosis-linked, circulating microRNAs in dilated cardiomyopathy (DCM) is unknown. AIM:The aim of the study was to uncover the associations between serum markers of ECM metabolism and circulating microRNAs with RV morphol...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0099
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The authors analyzed data from Polish national POL-TAVI registry in terms of paravalvular leak (PVL) occurrence after transcatheter aortic valve implantation (TAVI) and its impact on clinical outcomes. METHODS:A total of 331 patients with severe aortic stenosis underwent TAVI (Edwards Sapien, n = 141; CoreV...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2015.0071
更新日期:2016-01-01 00:00:00