International journal of cardiology
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Letter Case Reports
Negative pressure pulmonary edema complicating an electrophysiological study.
We report on a case of acute non-cardiogenic negative-pressure pulmonary edema developed during an ablation procedure of an accessory pathway in a patient with no structural heart disease. That potentially serious complication has not been previously reported during an interventional cardiology procedure.
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Percutaneous patent foramen closure has emerged as a dynamic therapy for stroke prevention secondary to paradoxical embolism. Recent reports, however, have documented uncertain clinical efficacy and patients with incomplete PFO closure may remain at risk of recurrent events. We sought to identify echocardiographic determinants and the clinical significance of persistent residual shunting after percutaneous PFO closure. ⋯ In patients undergoing percutaneous PFO closure for stroke or TIA, a larger PFO size predisposes to residual shunting approximately 6 months post PFO closure, but with no short term increased risk of recurrent thromboembolic events.
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The cost and length of hospitalization for acute myocardial infarction in the US are significantly higher for the Hispanic population. However, differences in comorbidities and procedure utilization do not fully explain this disparity. Additional process measures are needed to better describe these differences.