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View article: Surgery Versus Surveillance: A Quality-of-Life Analysis of Patients With Moderately Dilated Aortic Root or Ascending Aorta
Surgery Versus Surveillance: A Quality-of-Life Analysis of Patients With Moderately Dilated Aortic Root or Ascending Aorta Open
Objectives The impact of diagnosis and management of ascending thoracic aortic aneurysm (ATAA) on patients’ quality of life (QoL) is not well characterized. This study aims to compare QoL with surgery versus surveillance in patients with m…
View article: Post-cardiac surgery atrial fibrillation and sex differences in clinical outcomes: a systematic review and meta-analysis
Post-cardiac surgery atrial fibrillation and sex differences in clinical outcomes: a systematic review and meta-analysis Open
There is conflicting literature on sex differences and clinical outcomes in patients who develop atrial fibrillation (AF) post-cardiac surgery. Our aim was to compare clinical outcomes between females and males with post-cardiac surgery AF…
View article: Carotid Artery Corrected Flow Time Measured by Wearable Doppler Ultrasound Detects Stroke Volume Change Measured by Transesophageal Echocardiography After Coronary Artery Bypass Grafting
Carotid Artery Corrected Flow Time Measured by Wearable Doppler Ultrasound Detects Stroke Volume Change Measured by Transesophageal Echocardiography After Coronary Artery Bypass Grafting Open
Background: As a measure of preload responsiveness (PR), change in carotid artery corrected flow time (ccFTΔ) is a surrogate for change in stroke volume (SVΔ). However, the optimal threshold and accuracy of ccFTΔ to detect SVΔ are inconsis…
View article: Intracardiac Cement Embolism After Percutaneous Vertebroplasty
Intracardiac Cement Embolism After Percutaneous Vertebroplasty Open
We report a case of intracardiac cement embolism in a 24-year-old male patient as a rare postprocedural complication of percutaneous vertebroplasty. The patient was assessed 1 month after the procedure because of persistent tachycardia. Co…
View article: Visionnement de vidéos explicatives vulgarisées en chirurgie cardiaque : l’expérience utilisateur de personnes âgées
Visionnement de vidéos explicatives vulgarisées en chirurgie cardiaque : l’expérience utilisateur de personnes âgées Open
Les informations médicales ne sont pas toujours faciles à comprendre pour les patients. Il existe des documents en ligne et des sites Internet, mais les informations ne sont pas nécessairement fiables, suffisamment vulgarisées ou utiles, e…
View article: The Canadian Cardiovascular Society Classification of Acute Atherothrombotic Myocardial Infarction Based on Stages of Tissue Injury Severity: An Expert Consensus Statement
The Canadian Cardiovascular Society Classification of Acute Atherothrombotic Myocardial Infarction Based on Stages of Tissue Injury Severity: An Expert Consensus Statement Open
View article: Utilization of Shock Team and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) in the Management of Cardiogenic Shock in Northern Ontario
Utilization of Shock Team and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) in the Management of Cardiogenic Shock in Northern Ontario Open
This analysis demonstrated the feasibility of implementing a shock team in remote Northern Ontario, enabling the use of VA-ECMO with success in a centre with a sizeable rural catchment area. This initiative helps address the gap in cardiac…
View article: Simultaneous venous–arterial Doppler during preload augmentation: illustrating the Doppler Starling curve
Simultaneous venous–arterial Doppler during preload augmentation: illustrating the Doppler Starling curve Open
View article: Detecting the Change in Total Circulatory Flow with a Wireless, Wearable Doppler Ultrasound Patch: A Pilot Study
Detecting the Change in Total Circulatory Flow with a Wireless, Wearable Doppler Ultrasound Patch: A Pilot Study Open
OBJECTIVE: Measuring fluid responsiveness is important in the management of critically ill patients, with a 10–15% change in cardiac output typically being used to indicate “fluid responsiveness.” Ideally, these changes would be measured n…
View article: Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge Open
A preload challenge (PC) is a clinical maneuver that, first, increases the cardiac filling (i.e., preload) and, second, calculates the change in cardiac output. Fundamentally, a PC is a bedside approach for testing the Frank-Starling-Sarno…
View article: The Safety of Early Discharge Following Transcatheter Aortic Valve Implantation Among Patients in Northern Ontario and Rural Areas Utilizing the Vancouver 3M TAVI Study Clinical Pathway
The Safety of Early Discharge Following Transcatheter Aortic Valve Implantation Among Patients in Northern Ontario and Rural Areas Utilizing the Vancouver 3M TAVI Study Clinical Pathway Open
View article: A Wireless Wearable Doppler Ultrasound Detects Changing Stroke Volume: Proof-of-Principle Comparison with Trans-Esophageal Echocardiography during Coronary Bypass Surgery
A Wireless Wearable Doppler Ultrasound Detects Changing Stroke Volume: Proof-of-Principle Comparison with Trans-Esophageal Echocardiography during Coronary Bypass Surgery Open
Background: A novel, wireless, ultrasound biosensor that adheres to the neck and measures real-time Doppler of the carotid artery may be a useful functional hemodynamic monitor. A unique experimental set-up during elective coronary artery …
View article: The Gap in Prescribing Stroke Prevention Therapies in Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting Surgery
The Gap in Prescribing Stroke Prevention Therapies in Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting Surgery Open
Background: Postoperative atrial fibrillation (POAF) commonly occurs after coronary artery bypass graft (CABG) surgery. Patients with POAF are at higher risk of stroke and mortality. The use of oral anticoagulation (OAC) in POAF remains in…
View article: Evolving Surgical Techniques and Improving Outcomes for Aortic Arch Surgery in Canada
Evolving Surgical Techniques and Improving Outcomes for Aortic Arch Surgery in Canada Open
View article: Stem cell therapy for heart failure: Medical breakthrough, or dead end?
Stem cell therapy for heart failure: Medical breakthrough, or dead end? Open
Heart failure continues to be one of the leading causes of morbidity and mortality worldwide. Myocardial infarction is the primary causative agent of chronic heart failure resulting in cardiomyocyte necrosis and the subsequent formation of…
View article: Does adding an aortic root replacement or sinus repair during arch repair increase postoperative mortality? Evidence from the Canadian Thoracic Aortic Collaborative
Does adding an aortic root replacement or sinus repair during arch repair increase postoperative mortality? Evidence from the Canadian Thoracic Aortic Collaborative Open
OBJECTIVES The aim of this study was to examine the effect of the addition of an aortic root replacement or sinus repair on mortality and morbidity during aortic arch repair. METHODS A total of 2472 patients underwent proximal or total aor…
View article: Diagnosing acute aortic syndrome: a Canadian clinical practice guideline
Diagnosing acute aortic syndrome: a Canadian clinical practice guideline Open
KEY POINTS Acute aortic syndrome (AAS) is a life-threatening emergency, accounting for 1/2000 presentations of acute chest or back pain to the emergency department.[1][1] It is a clinical spectrum of diagnoses including aortic dissection, …
View article: LO04: Canadian best practice diagnostic algorithm for acute aortic syndrome
LO04: Canadian best practice diagnostic algorithm for acute aortic syndrome Open
View article: Non-transfemoral access sites for transcatheter aortic valve replacement
Non-transfemoral access sites for transcatheter aortic valve replacement Open
Transfemoral access is currently the standard and preferred access site for transcatheter aortic valve replacement (TAVR), though novel approaches are emerging to expand treatment options for the increasing numbers of patients with a contr…
View article: Therapeutic Use of Stem Cells for Myocardial Infarction
Therapeutic Use of Stem Cells for Myocardial Infarction Open
Myocardial infarction is a leading cause of morbidity and mortality worldwide. Although medical and surgical treatments can significantly improve patient outcomes, no treatment currently available is able to generate new contractile tissue…
View article: Complete dehiscence and embolization of tricuspid valve annuloplasty ring into left pulmonary artery
Complete dehiscence and embolization of tricuspid valve annuloplasty ring into left pulmonary artery Open
View article: Therapeutic use of stem cells for cardiovascular disease
Therapeutic use of stem cells for cardiovascular disease Open
Stem cell treatments are a desirable therapeutic option to regenerate myocardium and improve cardiac function after myocardial infarction. Several different types of cells have been explored, each with their own benefits and limitations. I…
View article: Immunotolerant Properties of Mesenchymal Stem Cells: Updated Review
Immunotolerant Properties of Mesenchymal Stem Cells: Updated Review Open
Stem cell transplantation is a potential therapeutic option to regenerate damaged myocardium and restore function after infarct. Current research is focused on the use of allogeneic mesenchymal stem cells (MSCs) due to their unique immunom…