Journal of cardiovascular medicine
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J Cardiovasc Med (Hagerstown) · Apr 2012
Comparative StudyComparison of renal predictors for in-hospital and postdischarge mortality after hospitalized heart failure.
Abnormal baseline and acutely worsening renal function (WRF) during heart failure hospitalization are associated with worse outcomes. However, which renal criterion is most predictive of in-hospital and postdischarge mortality is uncertain. ⋯ Among hospitalized heart failure patients, baseline BUN is the renal index most strongly associated with in-hospital and 1-year mortality. WRF definitions that use BUN or creatinine have similar discriminative ability overall, but commonly used thresholds are suboptimal for predicting mortality; optimal thresholds varied with baseline renal function and time horizon.
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J Cardiovasc Med (Hagerstown) · Apr 2012
Comparative StudyTranscatheter vs. surgical aortic valve replacement: a retrospective analysis assessing clinical effectiveness and safety.
To compare, in terms of clinical effectiveness and safety, patients who underwent transcatheter aortic valve implantation (TAVI) with those who underwent surgical aortic valve replacement (S-AVR) for the treatment of severe aortic stenosis during the same period. ⋯ TAVI morbidity and mortality registered in this series are lower than those estimated for conventional surgery in high-risk patients and compare to those associated with S-AVR in good surgical candidates.
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J Cardiovasc Med (Hagerstown) · Apr 2012
Endovascular treatment of descending thoracic aortic rupture: mid- to long-term results in a single-centre registry.
To update our experience with descending thoracic aortic rupture (DTAR) endovascular repair over a 6-year period. ⋯ Although this study is not a comparative analysis of DTAR, mortality and morbidity rates were lower than previously reported with emergent open surgical repair. One-year treatment results indicate a low incidence of graft-related complications. Endovascular treatment of the thoracic aortic rupture should be considered feasible and well tolerated in the short and medium term.