- Characteristics and outcomes of laparoscopic surgery in patients with large hiatal hernia. A single center study. [Journal Article]
- IJInt J Surg Case Rep 2018 May 07; 48:142-144
- CONCLUSIONS: Laparoscopic hiatal hernia repair results in less postoperative pain compared with the open approach. The smaller incisions of minimally-invasive surgery are less likely to be complicated by incisional hernias and wound infection. Postoperative respiratory complications are reduced.Results from multiple studies are similar, with shorter hospital stay and less morbidity resulting from the minimally invasive approach.
- Implementation of an Urogynecology-Specific Enhanced Recovery After Surgery (ERAS) Pathway. [Journal Article]
- AJAm J Obstet Gynecol 2018 Jun 15
- CONCLUSIONS: ERAS implementation in an urogynecology population resulted in a greater proportion of same day discharge and high patient satisfaction but with slightly increased hospital readmissions within 30 days.
- Nuclear Stress Testing Referrals: Time for a Novel Radiation Sparing Approach? [Journal Article]
- MMMil Med 2018 Apr 18
- CONCLUSIONS: According to the current AUC, our facility is referring patients appropriately for nuclear stress testing. However, by reserving nuclear stress testing primarily for patients with LBBB, pacemaker, and baseline wall motion abnormalities, we can reduce radiation exposure to our patients while still providing appropriate evaluation.
- [Decision-making issues in the clinical management of pericarditis. A statement of the Italian Association of Hospital Cardiologists (ANMCO)]. [Journal Article]
- GIG Ital Cardiol (Rome) 2018; 19(4):248-259
- Acute pericarditis is not uncommon in clinical practice and may occur either as isolated disease or as a manifestation of another disease (known or still unknown). The etiology is varied and complex ...
Acute pericarditis is not uncommon in clinical practice and may occur either as isolated disease or as a manifestation of another disease (known or still unknown). The etiology is varied and complex and a clinically-oriented approach to management is possible by identifying initial presentation features of high risk (risk of complications or specific disease: fever >38°C, subacute course without acute chest pain, large pericardial effusion, cardiac tamponade, and lack of response to empiric anti-inflammatory therapy), that suggest admission and additional diagnostic evaluation. In any case, a prompt anti-inflammatory therapy at full doses till remission is warranted to prevent complicated and prolonged courses. In this paper, we will try to clarify common doubts and outline evidence-based approaches to the diagnosis, therapy and follow-up of these patients.
- Treatment of Chronic Back and Chest Pain Patient With Sicklecell Disease Using Spinal Cord Stimulation. [Journal Article]
- TJTurk J Haematol 2018 Jun 18
- Nonsymptomatic myocardial bridge causing systolic total narrowing of circumflex artery. [Journal Article]
- JSJ Saudi Heart Assoc 2018; 30(2):153-156
- Myocardial bridge is defined as the narrowing of any coronary artery segment in systole but a normal diameter in diastole. It is most frequently seen on left anterior descending (LAD) artery. Left ci...
Myocardial bridge is defined as the narrowing of any coronary artery segment in systole but a normal diameter in diastole. It is most frequently seen on left anterior descending (LAD) artery. Left circumflex artery (LCx) is very rare. A 62 year-old male patient presented with severe, squeezing chest pain. The electrocardiogram showed T wave inversion in V1-V4 and ST depression in DII, DIII, aVF. Coronary angiography showed complicated lesion on after S2 branches of LAD and myocardial bridge causing 100% systolic narrowing of fourth obtus marginal branch of LCx. Bare metal stent was placed to LAD lesions with no residual occlusion. The patient was discharged with beta-blocker therapy. He had no recurrent chest pain during six months of follow-up.
- Atypical chest pain in a patient with hydatid cyst of the interventricular septum. [Journal Article]
- BCBMJ Case Rep 2018 Jun 15; 2018
- We report a 57-year-old man presenting with symptoms of sharp pricking, exertional retrosternal chest pain multiple times, each episode lasting for a few seconds. On evaluation, the ECG of the patien...
We report a 57-year-old man presenting with symptoms of sharp pricking, exertional retrosternal chest pain multiple times, each episode lasting for a few seconds. On evaluation, the ECG of the patient showed normal sinus rhythm with T wave inversions in leads V1-V3. Troponin T test was negative. Transthoracic echocardiography showed a globular mass in the interventricular septum. Cardiac MRI was suspicious of the lesion to be a hydatid cyst. Surgical excision of the lesion followed by histopathology was confirmatory of hydatid cyst.
- Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain: A Randomized Controlled Trial. [Journal Article]
- JCJACC Cardiovasc Imaging 2018 Jun 08
- CONCLUSIONS: The use of SE resulted in the hospitalization of a smaller proportion of patients with a shorter length of stay than coronary CTA and was safe. SE should be considered an appropriate option for ED chest pain triage (Stress Echocardiography and Heart Computed Tomography [CT] Scan in Emergency Department Patients With Chest Pain; NCT01384448).
- A Tale of Two Tests. [Editorial]
- JCJACC Cardiovasc Imaging 2018 Jun 08
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- PRrospEctive Comparison of FFR Derived From Coronary CT Angiography With SPECT PerfuSion Imaging in Stable Coronary ArtEry DiSeaSe: The ReASSESS Study. [Journal Article]
- JCJACC Cardiovasc Imaging 2018 Jun 09
- CONCLUSIONS: In patients with stable chest pain and CAD as determined by coronary CTA, the overall diagnostic accuracy levels of FFRCT and SPECT were identical in assessing hemodynamically significant stenosis. However, FFRCT demonstrated a significantly higher diagnostic sensitivity than SPECT.