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Yalta K, Madias JE, Kounis NG, Y-Hassan S, Polovina M, Altay S, Mebazaa A, Yilmaz MB, Lopatin Y, Mamas MA, Gil RJ, Thamman R, Almaghraby A, Bozkurt B, Bajraktari G, Fink T, Traykov V, Manzo-Silberman S, Mirzoyev U, Sokolovic S, Kipiani ZV, Linde C, Seferovic PM. Takotsubo Syndrome: An International Expert Consensus Report on Practical Challenges and Specific Conditions (Part-1: Diagnostic and Therapeutic Challenges). Balkan Med J 2024; 41:421-441. [PMID: 39417524 PMCID: PMC11589216 DOI: 10.4274/balkanmedj.galenos.2024.2024-9-98] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2024] [Accepted: 09/26/2024] [Indexed: 10/19/2024] Open
Abstract
In the recent years, there has been a burgeoning interest in Takotsubo syndrome (TTS), which is renowned as a specific form of reversible myocardial dysfunction. Despite the extensive literature available on TTS, clinicians still face several practical challenges associated with the diagnosis and management of this phenomenon. This potentially results in the underdiagnosis and improper management of TTS in clinical practice. The present paper, the first part (part-1) of the consensus report, aims to cover diagnostic and therapeutic challenges associated with TTS along with certain recommendations to combat these challenges.
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Affiliation(s)
- Kenan Yalta
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - John E Madias
- Department of Cardiology, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, Elmhurst, NY, United States of America
| | - Nicholas G Kounis
- Department of Cardiology, University of Patras Medical School, Patras, Greece
| | - Shams Y-Hassan
- Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
| | - Marija Polovina
- Department of Cardiology, University of Belgrade, University Clinical Centre of Serbia, Belgrade, Serbia
| | - Servet Altay
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Alexandre Mebazaa
- University Paris Cite, Department of Anesthesia-Burn-Critical Care, Université de Paris, UMR Inserm MASCOT; APHP Saint Louis Lariboisière University Hospitals, Paris, France
| | - Mehmet Birhan Yilmaz
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir, Türkiye
| | - Yuri Lopatin
- Department of Cardiology, Volgograd State Medical University, Regional Cardiology Centre, Volgograd, Russia
| | - Mamas A Mamas
- Department of Cardiology, Centre for Prognosis Research, Keele University, Stoke-on-Trent, United Kingdom
| | - Robert J Gil
- Department of Cardiology, National Medical Institute of the Ministry of Internal Affairs and Administration, Warsaw, Poland
| | - Ritu Thamman
- Department of Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
| | - Abdallah Almaghraby
- Department of Cardiology, Ibrahim Bin Hamad Obaidallah Hospital, EHS, Ras Al Khaimah, United Arab Emirates
| | - Biykem Bozkurt
- Department of Cardiology, Baylor College of Medicine, Houston TX, United States of America
| | - Gani Bajraktari
- Department of Cardiology, University Clinical Centre of Kosova, Prishtina, Kosovo
- University of Prishtina Faculty of Medicine, Prishtina, Kosovo
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Thomas Fink
- Department of Cardiology, Division of Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-University Bochum, Bad Oeynhausen, Germany
| | - Vassil Traykov
- Department of Cardiology, Division of Invasive Electrophysiology, Acıbadem City Clinic Tokuda University Hospital, Sofia, Bulgaria
| | - Stephane Manzo-Silberman
- Department of Cardiology, Pitié-Salpêtrière Hospital, Institute of Cardiology, ACTION Study Group, Sorbonne University, Paris, France
| | - Ulvi Mirzoyev
- Medical Center of The Ministry of Emergency Situations of Azerbaijan; President of Azerbaijan Society of Cardiology, Baku, Azerbaijan
| | - Sekib Sokolovic
- Department of Cardiology, Cardiology and Rheumatology Hospital, Sarajevo University Clinical Center, Sarajevo, Bosnia Herzegovina
| | | | - Cecilia Linde
- Department of Cardiology, Karolinska Institutet, Stockholm, Sweden
- Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
| | - Petar M Seferovic
- Department of Cardiology, Serbian Academy of Sciences and Arts and Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Computational Analysis of the Related Factors of Deep Vein Thrombosis (DVT) Formation in Patients Undergoing Hip Fracture Surgery. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:1127095. [PMID: 35668774 PMCID: PMC9166936 DOI: 10.1155/2022/1127095] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 05/14/2022] [Indexed: 12/04/2022]
Abstract
A retrospective study was conducted on 51 patients undergoing hip fracture surgery to investigate the factors associated with the formation of deep venous thrombosis (DVT). The independent sample t-test and correlation analysis were used to sort out and analyze the data. The findings are as follows. (1) Different gender samples showed significant differences in the Caprini score and thrombus location. Most DVTs in females are located in the posterior tibial vein and intermuscular veins. The Caprini score of females was significantly higher than that of males. (2) Age displays a positive correlation with DVT, coronary heart disease, hypertension, and different surgical types, respectively. (3) There is a correlation between age and operation duration. (4) Hyperlipidemia and cerebrovascular disease show a positive correlation with DVT. (5) There was a significant negative correlation between the Caprini score and the quantification of D-dimer. This indicates that in this sample, the higher the patients' Caprini score is, the lower the quantitation of D-dimer will be. (6) Hyperlipidemia and cardiac insufficiency show a positive correlation with cerebrovascular disease. Patients with hyperlipidemia and cardiac insufficiency may also suffer from cerebrovascular diseases.
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Berardi C, Bravo CA, Li S, Khorsandi M, Keenan JE, Auld J, Rockom S, Beckman JA, Mahr C. The History of Durable Left Ventricular Assist Devices and Comparison of Outcomes: HeartWare, HeartMate II, HeartMate 3, and the Future of Mechanical Circulatory Support. J Clin Med 2022; 11:2022. [PMID: 35407630 PMCID: PMC9000165 DOI: 10.3390/jcm11072022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/25/2022] [Accepted: 03/31/2022] [Indexed: 12/13/2022] Open
Abstract
The utilization of left ventricular assist devices (LVADs) in end-stage heart failure has doubled in the past ten years and is bound to continue to increase. Since the first of these devices was approved in 1994, the technology has changed tremendously, and so has the medical and surgical management of these patients. In this review, we discuss the history of LVADs, evaluating survival and complications over time. We also aim to discuss practical aspects of the medical and surgical management of LVAD patients and future directions for outcome improvement in this population.
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Affiliation(s)
- Cecilia Berardi
- Division of Cardiovascular Medicine, Baystate Medical Center, Springfield, MA 01199, USA;
| | - Claudio A. Bravo
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
| | - Song Li
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
| | - Maziar Khorsandi
- Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, WA 98195, USA; (M.K.); (J.E.K.)
| | - Jeffrey E. Keenan
- Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, WA 98195, USA; (M.K.); (J.E.K.)
| | - Jonathan Auld
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
| | - Sunny Rockom
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
| | - Jennifer A. Beckman
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
| | - Claudius Mahr
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA 98195, USA; (C.A.B.); (S.L.); (J.A.); (S.R.); (J.A.B.)
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