Journal of cardiovascular medicine
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J Cardiovasc Med (Hagerstown) · Jul 2012
Case ReportsLeft ventricular pseudoaneurysm following aortic valve prosthesis endocarditis.
A 63-year-old man underwent aortic valve replacement and an early reoperation for recurrent endocarditis. Sixteen months later he presented with persistent fever and a 64-slice computed tomography (CT) scan revealed a subannular left ventricular pseudoaneurysm. He underwent successful left ventricular outflow tract reconstruction and aortic valve prosthesis, partial root and ascending aorta replacement.
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J Cardiovasc Med (Hagerstown) · May 2012
Edema index established by a segmental multifrequency bioelectrical impedance analysis provides prognostic value in acute heart failure.
A segmental multifrequency bioelectrical impedance analysis (SMBIA) is a noninvasive and reproducible modality for estimating the fluid state. The aim of this study was to test whether the SMBIA-derived edema index provides prognostic value in patients hospitalized due to acute heart failure (AHF). ⋯ Edema index provides 6-month prognostic values in patients hospitalized due to AHF. Reducing the edema index in high-risk patients results in better outcomes.
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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.