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Risi CM, Belknap B, Atherton J, Coscarella IL, White HD, Bryant Chase P, Pinto JR, Galkin VE. Troponin Structural Dynamics in the Native Cardiac Thin Filament Revealed by Cryo Electron Microscopy. J Mol Biol 2024; 436:168498. [PMID: 38387550 PMCID: PMC11007730 DOI: 10.1016/j.jmb.2024.168498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 02/07/2024] [Accepted: 02/15/2024] [Indexed: 02/24/2024]
Abstract
Cardiac muscle contraction occurs due to repetitive interactions between myosin thick and actin thin filaments (TF) regulated by Ca2+ levels, active cross-bridges, and cardiac myosin-binding protein C (cMyBP-C). The cardiac TF (cTF) has two nonequivalent strands, each comprised of actin, tropomyosin (Tm), and troponin (Tn). Tn shifts Tm away from myosin-binding sites on actin at elevated Ca2+ levels to allow formation of force-producing actomyosin cross-bridges. The Tn complex is comprised of three distinct polypeptides - Ca2+-binding TnC, inhibitory TnI, and Tm-binding TnT. The molecular mechanism of their collective action is unresolved due to lack of comprehensive structural information on Tn region of cTF. C1 domain of cMyBP-C activates cTF in the absence of Ca2+ to the same extent as rigor myosin. Here we used cryo-EM of native cTFs to show that cTF Tn core adopts multiple structural conformations at high and low Ca2+ levels and that the two strands are structurally distinct. At high Ca2+ levels, cTF is not entirely activated by Ca2+ but exists in either partially or fully activated state. Complete dissociation of TnI C-terminus is required for full activation. In presence of cMyBP-C C1 domain, Tn core adopts a fully activated conformation, even in absence of Ca2+. Our data provide a structural description for the requirement of myosin to fully activate cTFs and explain increased affinity of TnC to Ca2+ in presence of active cross-bridges. We suggest that allosteric coupling between Tn subunits and Tm is required to control actomyosin interactions.
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Affiliation(s)
- Cristina M Risi
- Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA
| | - Betty Belknap
- Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA
| | - Jennifer Atherton
- Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA
| | - Isabella Leite Coscarella
- Department of Biomedical Sciences, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Howard D White
- Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA
| | - P Bryant Chase
- Department of Biological Science, Florida State University, Tallahassee, FL, USA
| | - Jose R Pinto
- Department of Biomedical Sciences, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Vitold E Galkin
- Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA.
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2
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Atherton J, Abdrabbo M, Kassab H. Impact of Abrupt Interruption of Home Psychotropic Medications at ICU Admission. J Pharm Technol 2023; 39:199-204. [PMID: 37529150 PMCID: PMC10387813 DOI: 10.1177/87551225231182286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023] Open
Abstract
Background: Abrupt discontinuation of home psychotropic medications is common among critically ill patients but may precipitate clinically significant withdrawal. Objective: To determine the percent of patients with interruptions in home psychotropic medications upon intensive care unit (ICU) admission and to identify outcomes associated with these interruptions. Methods: This was an institutional review board-approved, single-center, retrospective study of critically ill patients with a history of mental illness taking an antipsychotic or antidepressant medication. The primary outcome was the percent of patients with interruption in at least one home psychotropic medication for ≥24 hours upon ICU admission. Secondary outcomes included time to psychotropic re-initiation, percent of home psychotropic medications restarted in the ICU, ICU length of stay (LOS), delirium, withdrawal-related complications, need for acute antipsychotics or benzodiazepines, and reasons for psychotropic interruption. Results: Among 183 patients, 93 (50.8%) had interruptions in home psychotropic therapy for ≥24 hours upon ICU admission. Mean time to reinitiation of at least one psychotropic agent was 1.4 days, and 16.4% of patients did not have any home psychotropics restarted. Patients with psychotropic interruption had a longer ICU LOS (P = 0.01) and greater incidence of ICU delirium (P < 0.01). Withdrawal-related complications were similar between groups. Acute antipsychotic use was greater in patients with psychotropic interruption (P < 0.01). Acute benzodiazepine use was not different between groups (P = 0.87). Most patients did not have a documented reason for therapy interruption. Conclusion and Relevance: Unless contraindicated, clinicians should attempt to restart home psychotropic medications as soon as possible in critically ill patients.
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Affiliation(s)
- Jennifer Atherton
- Department of Pharmacy, St. Joseph’s University Medical Center, Paterson, NJ, USA
| | - Maryam Abdrabbo
- Department of Pharmacy, St. Joseph’s University Medical Center, Paterson, NJ, USA
| | - Hagar Kassab
- Department of Pharmacy, Yale New Haven Hospital, New Haven, CT, USA
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3
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Butters A, Arnott C, Sweeting J, Claggett B, Atherton J, Semsarian C, Lakdawala NK, Ho CY, Ingles J. Sex disaggregated analysis of risk factors for adverse outcomes in hypertrophic cardiomyopathy. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Patient sex has been associated with differences in disease penetrance and clinical expression in HCM. We sought to investigate sex-disaggregated differences in risk factors for adverse outcomes in a large international HCM registry.
Methods
This is a retrospective study of HCM patients from the Sarcomeric Human Cardiomyopathy Registry. Cox proportional hazards models were fit with a sex interaction term to determine significant differences between sexes.
Results
6647 (38% women) probands with HCM were included. After a mean follow-up of 6.4 years from first encounter, women had a higher risk of heart failure (HF) composite (HR 1.77; 95% CI 1.56–1.99, p<0.0001), and death (1.22; 1.03–1.45, p=0.02) compared to men. No sex difference existed for ventricular arrhythmia composite (p=0.2) or atrial fibrillation (p=0.6). Sarcomere positive status (Sarc+) and causative variants in MYBPC3 reduced the risk of the HF composite for women, while for men there was no change in risk (P-heterogeneity=0.016 and <0.0001, respectively). Baseline LVEF <35% and larger LA size increased the risk of the HF composite for both sexes but to a greater magnitude in men (P-heterogeneity=0.0003 and 0.04 respectively) (Figure 1). Sarc+ increased the risk of death in men but not women (P-heterogeneity=0.041). Having the HF composite increased the risk of death by 45% in and 240% in men (P-heterogeneity=0.003) (Figure 2).
Conclusion
There are important sex differences in the risk of heart failure and death in those with HCM, with significant heterogeneity of outcomes based on subgroups defined by genetic and imaging factors.
Funding Acknowledgement
Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): The Sarcomeric Human Cardiomyopathy Registry (SHaRe) is supported by an unrestricted research grant from Bristol Myer Squibb, including funds to individual sites for database support.
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Affiliation(s)
- A Butters
- Centre for Population Genomics, Garvan Institute of Medical Research and UNSW , Sydney , Australia
| | - C Arnott
- The George Institute for Global Health, University of New South Wales , Sydney , Australia
| | - J Sweeting
- Centre for Population Genomics, Garvan Institute of Medical Research and UNSW , Sydney , Australia
| | - B Claggett
- Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston , United States of America
| | - J Atherton
- Cardiology Department, Royal Brisbane and Women's Hospital , Sydney , Australia
| | - C Semsarian
- Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, University of Sydney , Sydney , Australia
| | - N K Lakdawala
- Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston , United States of America
| | - C Y Ho
- Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston , United States of America
| | - J Ingles
- Centre for Population Genomics, Garvan Institute of Medical Research and UNSW , Sydney , Australia
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Lo A, Ruane L, Mew T, Mew C, Guppy-Coles K, Dahiya A, Ng A, Prasad S, Atherton J. Utility of advanced echocardiographic deformation measures to delineate cause of pathological left ventricular hypertrophy: value of a multiparametric approach. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Early diagnosis of cardiac amyloidosis (CA) is warranted to initiate specific treatment and improve outcomes. Conventional echocardiography is unable to reliably differentiate CA from other causes of increased left ventricular (LV) wall thickness.
Purpose
To demonstrate the value of a multiparametric approach utilising both standard and advanced echocardiographic measures to distinguish CA from other pathological causes of increased LV wall thickness.
Results
Patients with HCM had the highest septal thickness, maximum LV wall thickness, septum/posterior wall (Sep/PW) thickness ratio and left ventricular outflow tract (LVOT) gradient and lowest PW thickness (p<0.0001) among all groups. Patients with CA had the lowest global longitudinal strain (GLS), tissue Doppler-derived myocardial systolic and diastolic velocities and LV ejection fraction (EF) (p<0.0001). EF strain ratio (EFSR=LVEF/GLS) and LV longitudinal strain (apex/base) ratio were highest (largest number) in CA patients (p<0.0001). Multivariate linear regression identified 5 independent predictors (PW thickness, Sep/PW thickness ratio, LVOT gradient, LV longitudinal strain (apex/base) ratio and GLS) that discriminated CA from other causes of increased LV wall thickness. A regression equation (using multivariate linear regression) {CA prediction value = (0.230*LS apex/base) − (0.002*LVOT gradient) − [0.068*(Sep/PW ratio)] + (0.007*PW thickness) + (0.022*GLS) + 0.189; r=0.667)} was derived which allowed reliable distinction of CA with a sensitivity of 92.3% and specificity of 91.2% at the optimal cut-off.
Conclusion
PW thickness, Sep/PW thickness ratio, LVOT gradient, LV longitudinal strain (apex/base) ratio and GLS are independent predictors of CA. We developed a multiparametric regression equation which allowed discrimination of CA from other causes of increased LV wall thickness. Future studies involving larger cohorts are required to validate these findings.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Lo
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - L Ruane
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - T Mew
- Princess Alexandra Hospital, Cardiology Department , Brisbane , Australia
| | - C Mew
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - K Guppy-Coles
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - A Dahiya
- Princess Alexandra Hospital, Cardiology Department , Brisbane , Australia
| | - A Ng
- Princess Alexandra Hospital, Cardiology Department , Brisbane , Australia
| | - S Prasad
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - J Atherton
- Royal Brisbane and Women's Hospital , Brisbane , Australia
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5
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Lo A, Ruane L, Mew T, Mew C, Guppy-Coles K, Ng A, McGaughran J, Prasad S, Atherton J. Use of advanced echocardiographic modalities to discriminate preclinical HCM mutation carriers from non-carriers. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
It is a challenging goal to identify which family members of patients with hypertrophic cardiomyopathy (HCM) will subsequently develop HCM. Previous studies evaluating the utility of two-dimensional conventional Doppler echocardiography in HCM families with a known pathogenic variant identified on genetic testing have been unable to reliably distinguish preclinical genotype-positive, phenotype-negative (G+P−) individuals from their healthy genotype-negative, phenotype-negative (G−P−) relatives.
Purpose
To determine if advanced echocardiographic modalities can discriminate preclinical HCM mutation carriers (G+P−) from non-carriers (G−P−).
Methods
A total of 199 participants who had undergone genetic testing from HCM families with a known pathogenic variant were included in the study: 39 G−P−; 58 G+P− and 102 overt HCM patients (G+P+). Speckle tracking echocardiography (STE) and colour M-mode were performed on all participants and longitudinal, circumferential and radial strain, and torsion were compared.
Results
Patients with overt HCM had the highest septal, posterior wall thickness, septum/posterior wall (Sep/PW) thickness ratio and left ventricular outflow tract (LVOT) gradient and lowest global longitudinal, circumferential and radial strain, and tissue Doppler-derived myocardial systolic and diastolic velocities. Comparing G−P− and G+P− individuals, there were no significant differences in LV cavity size, wall thickness, LVOT gradient, LVEF and tissue Doppler-derived myocardial systolic and diastolic velocities. However, G+P− individuals had significantly higher peak apical rotation, peak twist and colour M-mode flow propagation velocity (Vp). Multivariate linear regression identified two independent predictors (peak apical rotation and Vp), and a regression equation (using multivariate linear regression) {Mutation carrier prediction value = (0.210×peak apical rotation) − (0.002×Vp) + 0.156; r=0.655)} was derived which allowed reliable discrimination of G+P- individuals with a sensitivity of 95.2% and specificity of 94.1% at the optimal cut-off.
Conclusion
In HCM family members without overt HCM, peak apical rotation and Vp provide good sensitivity and specificity for identifying mutation carriers and may be a clinically useful early marker of HCM before the onset of hypertrophy. Future longitudinal studies involving larger cohorts are required to validate these findings.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Lo
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - L Ruane
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - T Mew
- Princess Alexandra Hospital, Cardiology Department , Brisbane , Australia
| | - C Mew
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - K Guppy-Coles
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - A Ng
- Princess Alexandra Hospital, Cardiology Department , Brisbane , Australia
| | - J McGaughran
- Genetics health Queensland , Brisbane , Australia
| | - S Prasad
- Royal Brisbane and Women's Hospital , Brisbane , Australia
| | - J Atherton
- Royal Brisbane and Women's Hospital , Brisbane , Australia
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Solayar R, Tan J, Ng N, Lo A, Challa P, Wahi S, Atherton J, Younger J, Dahiya A. 417 The Utility Of Standard, Diastolic Phase, Cardiac Computed Tomography (dCCT) In Diagnosing And Identifying High Risk Features In Apical Hypertrophic Cardiomyopathy (ApHCM). J Cardiovasc Comput Tomogr 2022. [DOI: 10.1016/j.jcct.2022.06.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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7
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Guppy-Coles K, Prasad S, Lo A, Johnstone M, Armstrong J, Nguyen J, Murphy S, Ruane L, Mew C, Atherton J. Feasibility and Accuracy of Non-Specialised Medical Staff Performing Left Ventricular Ejection Fraction Assessment Using a Hand-held Echocardiography Device With an Automated Algorithm. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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8
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Twining M, Prentice L, Lloyd S, Adsett J, Prasad S, Atherton J, Denaro C. Low Prevalence of Heart Failure With Preserved Ejection Fraction in a Public Hospital Setting. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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9
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Lo A, Mew T, Mew C, Guppy-Coles K, Ng A, Prasad S, Atherton J. Utility of Advanced Echocardiographic Deformation Measures to Delineate Cause of Pathological Left Ventricular Hypertrophy: Value of a Multiparametric Approach. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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10
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Guppy-Coles K, Prasad S, Lo A, Johnstone M, Armstrong J, Nguyen J, Murphy S, Ruane L, Mew C, Atherton J. Non-Specialised Medical Staff Assessing Left Ventricular Systolic Function by Measuring Mitral Annular Excursion via Hand-Held Echocardiography Device and Automated Atrioventricular-Plane Tracking Algorithm. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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11
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Rutstein A, Baldini M, Morris N, Atherton J, McCormack L, Wong Y, Dashwood A, Wee Y, McKenzie S, Wang W, Hill J, Denman R, Ng K, Haqqani H. Embedding Genetic Counselling Into Cardiology Clinics: Case Studies From a Queensland Cardiology Genomics Service. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.04.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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12
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Lo A, Mew T, Mew C, Guppy-Coles K, Ng A, McGaughran J, Prasad S, Atherton J. Use of Advanced Echocardiographic Modalities to Discriminate Preclinical HCM Mutation Carriers From Non-Carriers. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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13
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Yan A, Sindone A, Ng A, Hyun K, Atherton J, Brieger D. Impacts of Angiotensin Converting Enzyme Inhibitors or Angiotensin Receptor Blockers Adherence Within 12 Months After Myocardial Infarction: An Observational Analysis. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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14
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Dai L, Gootjes J, Dorje T, Maiorana A, Shah A, Dembo L, Rankin J, Robinson S, Chih H, Atherton J, Reid C, Hillis G. An Audit of Adherence to Guideline-Recommended Treatment at Discharge of Heart Failure Hospitalisation in Cardiology and Non-Cardiology Wards in a Tertiary Hospital in Western Australia. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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15
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Solayar R, Tan J, Ng N, Lo A, Challa P, Wahi S, Atherton J, Younger J, Dahiya A. The Utility of Standard, Diastolic Phase, Cardiac Computed Tomography (dCCT) in Diagnosing and Identifying High-risk features in Apical Hypertrophic Cardiomyopathy (ApHCM). Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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16
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Twining M, Prentice L, Lloyd S, Adsett J, Prasad S, Atherton J, Denaro C. Spectrum of Serum BNP Elevation in a Real World Cohort of Patients With Heart Failure With Preserved Ejection Fraction. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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17
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Butters A, Arnott C, Sweeting J, Claggett B, Ashley E, Parikh V, Colan S, Day S, Owens A, Helms A, Saberi S, Jacoby D, Michels M, Olivotto I, Pereira A, Rosanno J, Wittekind S, Ware J, Atherton J, Semsarian C, Lakdawala N, Ho C, Ingles J. Sex Disaggregated Analysis of Risk Factors for Adverse Outcomes in Hypertrophic Cardiomyopathy. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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18
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Costelloe SJ, Rico Rios N, Goulding N, Mistry H, Stretton A, De la Salle B, Hepburn S, Thomas A, Atherton J, Cornes M. A survey of practice in the management of haemolysis, icterus and lipaemia in blood specimens in the United Kingdom and Republic of Ireland. Ann Clin Biochem 2021; 59:222-233. [PMID: 34719993 DOI: 10.1177/00045632211059755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Haemolysis, icterus and lipaemia (HIL) are common interferants in laboratory medicine, potentially impacting patient care. This survey investigates HIL management in medical laboratories across the UK and Republic of Ireland (ROI). METHODS A survey was sent to members of key professional organisations for laboratory medicine in the UK and ROI. Questions related to the detection, monitoring, quality control, and management of HIL. RESULTS In total, responses from 124 laboratories were analysed, predominantly from England (52%) and ROI (36%). Most responses were from public hospitals with biochemistry services (90%), serving primary care (91%), inpatients (91%), and outpatients (89%). Most laboratories monitored H (98%), I (88%), and L (96%) using automated indices (93%), alone or in combination with visual inspection.Manufacturer-stated cut-offs were used by 83% and were applied to general chemistries in 79%, and immunoassays in 50%. Where HIL cut-offs are breached, 64% withheld results, while 96% reported interference to users. HIL were defined using numeric scales (70%) and ordinal scales (26%). HIL targets exist in 35% of laboratories, and 54% have attempted to reduce HIL. Internal Quality Control for HIL was lacking in 62% of laboratories, and just 18% of respondents have participated in External Quality Assurance. Laboratories agree manufacturers should: standardise HIL reporting (94%), ensure comparability between platforms (94%), and provide information on HIL cross-reactivity (99%). Respondents (99%) showed interest in evidence-based, standardised HIL cut-offs. CONCLUSIONS Most respondents monitor HIL, although the wide variation in practice may differentially affect clinical care. Laboratories seem receptive to education and advice on HIL management.
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Affiliation(s)
- Seán J Costelloe
- Department of Clinical Biochemistry, 57983Cork University Hospital, Cork, Republic of Ireland.,Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK
| | - Natividad Rico Rios
- Department of Clinical Biochemistry, 57983Cork University Hospital, Cork, Republic of Ireland
| | - Nicola Goulding
- Department of Clinical Biochemistry, 57983Cork University Hospital, Cork, Republic of Ireland
| | - Hema Mistry
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,Serious Hazards of Transfusion Office, Manchester, UK
| | - Adam Stretton
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,6398Becton, Dickinson and Company, Wokingham, UK
| | - Barbara De la Salle
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,UK NEQAS Haematology, Watford, UK
| | - Sophie Hepburn
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,Blood Sciences, 2592East Suffolk and North Essex NHS Foundation Trust, Ipswich, UK
| | - Annette Thomas
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,Cardiff and Vale University Health Board, Cardiff, UK
| | - Jennifer Atherton
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,Blood Sciences Department, Liverpool Clinical Laboratories, 4595Aintree University Hospital, Liverpool, UK
| | - Michael Cornes
- Association for Clinical Biochemistry and Laboratory Medicine (ACB) Preanalytical Special Interest Group, London, UK.,Biochemistry Department, 156747Worcestershire Acute Hospitals NHS Trust, Worcester, UK
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19
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Lancini D, Mylonas G, Sun J, Boots R, Atherton J, Prasad S, Martin P. Predictors of Critical Illness–Associated New Onset Atrial Fibrillation and its Burden. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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20
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Lancini D, Guppy-Coles K, Tan W, Boots R, Atherton J, Prasad S, Martin P. Long-term Atrial Fibrillation Diagnoses Following Critical Illness—associated New Onset Atrial Fibrillation. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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21
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Bezerra Giordan L, Tong H, Atherton J, Ronto R, Chau J, Kaye D, Shaw T, Chow C, Laranjo L. Mobile Applications for Heart Failure Self-management: A Systematic Review. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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22
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Lancini D, Atherton J, Martin P, Prasad S. Echocardiographic Predictors of New Onset Atrial Fibrillation Post Acute Myocardial Infarction. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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23
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Guppy-Coles K, Johnstone M, Prasad S, Smith K, Lo A, Truloff T, Armstrong J, Atherton J. 342 Feasibility and Accuracy of Assessing Left Ventricular Systolic Function by Measuring Left Ventricular Ejection Fraction Using a Hand-held Echocardiography Device With an Automated Algorithm. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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24
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Do J, Yeates L, Butters A, Sarina T, Nowak N, Burns C, Connell V, Hunt L, Berkman J, Ingrey A, Kevin L, Thompson T, Macciocca I, Kawa J, McTaggart D, Zentner D, Pflaumer A, Ogden K, Smith J, Turner C, Ronan A, Davis A, Weintraub R, Vohra J, Winship I, McGaughran J, Atherton J, Semsarian C, Ingles J. 591 The Australian Genetic Heart Disease Registry: 13 Years on. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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25
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O'Neil A, Davis J, Mohebbi M, Voutilainen A, Virtanen J, Tuomainen T, Atherton J, Amerena J, Driscoll A, Hare D, Wittert G. 190 Urinary Sodium Concentration Predicts Time-to-Event Outcomes in Men With Heart Failure Over a 33-Year Period. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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26
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Montvida O, Green JB, Atherton J, Paul SK. Treatment with incretins does not increase the risk of pancreatic diseases compared to older anti-hyperglycaemic drugs, when added to metformin: real world evidence in people with Type 2 diabetes. Diabet Med 2019; 36:491-498. [PMID: 30306620 DOI: 10.1111/dme.13835] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/09/2018] [Indexed: 12/23/2022]
Abstract
AIMS In people with metformin-treated diabetes, to evaluate the risk of acute pancreatitis, pancreatic cancer and other diseases of the pancreas post second-line anti-hyperglycaemic agent initiation. METHODS People with Type 2 diabetes diagnosed after 2004 who received metformin plus a dipeptidyl peptidase-4 inhibitor (DPP-4i, n = 50 095), glucagon-like peptide-1 receptor agonist (GLP-1RA, n = 12 654), sulfonylurea (n = 110 747), thiazolidinedione (n = 17 597) or insulin (n = 34 805) for at least 3 months were identified in the US Centricity Electronic Medical Records. Time to developing acute pancreatitis, other diseases of the pancreas and pancreatic cancer was estimated, balancing and adjusting anti-hyperglycaemic drug groups for appropriate confounders. RESULTS In the DPP-4i group, the adjusted mean time to acute pancreatitis was 2.63 [95% confidence intervals (CI) 2.38, 2.88] years; time to pancreatic cancer was 2.70 (2.19, 3.21) years; and time to other diseases of the pancreas was 2.73 (2.33, 3.12) years. Compared with DPP-4i, the insulin group developed acute pancreatitis 0.48 years (P < 0.01) earlier and the GLP-1RA group developed pancreatic cancer 3 years later (P < 0.01). However, with the constraint of no event within 6 months of insulin initiation, the risk of acute pancreatitis in the insulin group was insignificant. No other significant differences were observed between groups. CONCLUSIONS No significant differences in the risk of developing pancreatic diseases in those treated with various anti-hyperglycaemic drug classes were found.
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Affiliation(s)
- O Montvida
- Statistics Unit, QIMR Berghofer Medical Research Institute
- School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia
| | - J B Green
- Division of Endocrinology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
| | - J Atherton
- Cardiology Department, Royal Brisbane and Women's Hospital and University of Queensland School of Medicine, Brisbane
| | - S K Paul
- Statistics Unit, QIMR Berghofer Medical Research Institute
- Melbourne EpiCentre, University of Melbourne and Melbourne Health, Melbourne, Australia
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Lo A, Guppy-Coles K, Ng A, Mew T, Dahiya A, Prasad S, Atherton J. Exaggerated Myocardial Torsion may Contribute to Dynamic Left Ventricular Outflow Tract Obstruction in Patients with Hypertrophic Cardiomyopathy. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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28
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Lancini D, Prasad S, Boots R, Guppy-Coles K, Atherton J, Martin P. Echocardiographic Findings in Critically Unwell Patients with New-Onset Atrial Fibrillation. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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29
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Johnson R, Peters S, Ingles J, Correnti G, Ingrey A, Mountain H, Zentner D, Thompson T, Oates E, Ronan A, Pachter N, Haan E, Van Spaendonck-Zwarts K, Semsarian C, McGaughran J, Atherton J, James P, Fatkin D. Penetrance of Dilated Cardiomyopathy in Families with Truncating TTN Variants: a National Perspective. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Guppy-Coles K, Prasad S, Lo A, Smith K, Truloff T, Beard P, Armstrong J, Atherton J. Feasibility and Accuracy of Assessing Left Ventricular Systolic Function by Measuring Mitral Annular Excursion using a Hand-Held Echocardiography Device with an Automated Atrioventricular-Plane Tracking Algorithm. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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31
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Wong Y, Nunan T, Hickey A, Denaro C, Adsett J, Peters R, Atherton J. From Hospital to Home: Insights from the Queensland Statewide Heart Failure Support Services Registry on Heart Failure Transitional Care. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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32
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Ha T, Atherton J, Chuan F, Douglas C, Ellem F, Mok L, Robertson L, Shah S, Steel L, Wood B, Rofail S. Sacubitril-Valsartan: Snapshot of a New Heart Failure Medication. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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33
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Coppock C, Singh S, Guppy-Coles K, Armstrong J, Beard P, Atherton J. Correlation Between Key Diastolic Parameters and Outcomes in Patients with Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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34
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Atherton J, Branagan M, Sindone A, Abhayaratna W, Driscoll A, De Pasquale C, Hopper I, MacDonald P, Kistler P, Newton P, Audehm R, Briffa T, Wong J, O’Loughlin J, Thomas L. The National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand Guidelines for the Prevention, Detection, and Management of Chronic Heart Failure in Australia 2018. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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35
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Prasad A, Lancini D, Guppy-Coles K, Atherton J, Thomas L, Prasad S. Prognostic Value of Left Atrial Function Following Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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36
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Wong Y, Hickey A, Nunan T, Adsett J, Denaro C, Peters R, Atherton J. Gender Differences in Patient Characteristics and Quality-of-Care Indicators Among Referrals to Queensland Statewide Heart Failure Support Services. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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37
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Prasad A, Lancini D, Guppy-Coles K, Atherton J, Thomas L, Prasad S. Predictors of New-Onset Atrial Fibrillation Following Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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38
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Dahiya A, Abdul Razak K, Hawkins A, Khoo T, Burrage M, Challa V, Atherton J, Jackson R. Early Detection of Cardiac Structural and Functional Abnormalities in Adult Myotonic Dystrophy Type 1 Patients Using Advanced Cardiac Magnetic Resonance Imaging. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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39
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Yu A, Rowe M, Atherton J, Dahiya A. A Rare Case of Single Right Coronary Artery with Absent Left Main Coronary Artery. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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40
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Dewald E, Kozioziemski B, Moody J, Koch J, Mapoles E, Montesanti R, Youngblood K, Letts S, Nikroo A, Sater J, Atherton J. Benchmarking X-Ray Phase Contrast Imaging for ICF D-T Ice Characterization Using Roughened Surrogates. Fusion Science and Technology 2017. [DOI: 10.13182/fst08-3458] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- E. Dewald
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - B. Kozioziemski
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - J. Moody
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - J. Koch
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - E. Mapoles
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - R. Montesanti
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - K. Youngblood
- General Atomics, P.O. Box 85608, San Diego, California 92186
| | - S. Letts
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - A. Nikroo
- General Atomics, P.O. Box 85608, San Diego, California 92186
| | - J. Sater
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
| | - J. Atherton
- Lawrence Livermore National Laboratory, P.O. Box 808, L-399, Livermore, California 94551
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41
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Haan SW, Atherton J, Clark DS, Hammel BA, Callahan DA, Cerjan CJ, Dewald EL, Dixit S, Edwards MJ, Glenzer S, Hatchett SP, Hicks D, Jones OS, Landen OL, Lindl JD, Marinak MM, Macgowan BJ, Mackinnon AJ, Meezan NB, Milovich JL, Munro DH, Robey HF, Salmonson JD, Spears BK, Suter LJ, Town RP, Weber SV, Kline JL, Wilson DC. NIF Ignition Campaign Target Performance and Requirements: Status May 2012. Fusion Science and Technology 2017. [DOI: 10.13182/fst13-tfm20-31] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- S. W. Haan
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - J. Atherton
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - D. S. Clark
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - B. A. Hammel
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - D. A. Callahan
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - C. J. Cerjan
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - E. L. Dewald
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - S. Dixit
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - M. J. Edwards
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - S. Glenzer
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - S. P. Hatchett
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - D. Hicks
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - O. S. Jones
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - O. L. Landen
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - J. D. Lindl
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - M. M. Marinak
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - B. J. Macgowan
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - A. J. Mackinnon
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - N. B. Meezan
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - J. L. Milovich
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - D. H. Munro
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - H. F. Robey
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - J. D. Salmonson
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - B. K. Spears
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - L. J. Suter
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - R. P. Town
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - S. V. Weber
- Lawrence Livermore National Laboratory, Livermore, California 94550
| | - J. L. Kline
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545
| | - D. C. Wilson
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545
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42
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Malfertheiner P, Megraud F, O'Morain CA, Gisbert JP, Kuipers EJ, Axon AT, Bazzoli F, Gasbarrini A, Atherton J, Graham DY, Hunt R, Moayyedi P, Rokkas T, Rugge M, Selgrad M, Suerbaum S, Sugano K, El-Omar EM. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus Report. Gut 2017; 66:6-30. [PMID: 27707777 DOI: 10.1136/gutjnl-2016-312288] [Citation(s) in RCA: 1757] [Impact Index Per Article: 251.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 08/09/2016] [Indexed: 02/06/2023]
Abstract
Important progress has been made in the management of Helicobacter pylori infection and in this fifth edition of the Maastricht Consensus Report, key aspects related to the clinical role of H. pylori were re-evaluated in 2015. In the Maastricht V/Florence Consensus Conference, 43 experts from 24 countries examined new data related to H. pylori in five subdivided workshops: (1) Indications/Associations, (2) Diagnosis, (3) Treatment, (4) Prevention/Public Health, (5) H. pylori and the Gastric Microbiota. The results of the individual workshops were presented to a final consensus voting that included all participants. Recommendations are provided on the basis of the best available evidence and relevance to the management of H. pylori infection in the various clinical scenarios.
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Affiliation(s)
- P Malfertheiner
- Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - F Megraud
- Laboratoire de Bactériologie, Inserm U853, Université de Bordeaux, Bordeaux, France
| | - C A O'Morain
- Faculty of Health Sciences, Trinity College, Dublin, Ireland
| | - J P Gisbert
- Department of Gastroenterology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain.,Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain
| | - E J Kuipers
- Erasmus University Medical Center, Rotterdam, The Netherlands
| | | | - F Bazzoli
- Internal Medicine and Gastroenterology, University of Bologna Italy, Bologna, Italy
| | - A Gasbarrini
- Gastroenterology, and Liver Unit, Internal Medicine, Roma, Italy
| | | | - D Y Graham
- Department of Medicine (111D), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
| | - R Hunt
- Department of Medicine, McMaster University, Hamilton, Canada.,Hillcroft, Beaconsfield, Buckinghamshire, UK
| | - P Moayyedi
- Department of Gastroenterology, McMaster University, Hamilton, Canada
| | - T Rokkas
- Department of Gastroenterology, Henry Dunant Hospital, Athens, Greece
| | - M Rugge
- Department of Diagnostic Sciences, University of Padova, Padova, Italy
| | | | - S Suerbaum
- Medizinische Hochschule Hannover, Institut für Medizinische Mikrobiologie, Hannover, Germany
| | - K Sugano
- Department of Medicine, Jichi Medical School, Tochigi, Japan
| | - E M El-Omar
- St George and Sutherland Clinical School, University of New South Wales, Sydney, Australia
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Lin A, Kwan C, Armstrong J, Sippel J, Thomas L, Atherton J, Prasad S. Minimum Left Atrial Volume Shows a Better Correlation with Invasively and Non-Invasively Measured LV Filling Pressures than Maximal Left Atrial Volume in Patients with Myocardial Infarction. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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44
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Franzon J, Berry N, Ullah S, Versace V, McCarthy A, Atherton J, Roder D, Koczwara B, Coghlan D, Clark R. Heart Failure Following Blood Cancer Therapy in Paediatric and Adult Populations. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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45
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West J, Atherton J, Costelloe SJ, Pourmahram G, Stretton A, Cornes M. Preanalytical errors in medical laboratories: a review of the available methodologies of data collection and analysis. Ann Clin Biochem 2016; 54:14-19. [DOI: 10.1177/0004563216669384] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Preanalytical errors have previously been shown to contribute a significant proportion of errors in laboratory processes and contribute to a number of patient safety risks. Accreditation against ISO 15189:2012 requires that laboratory Quality Management Systems consider the impact of preanalytical processes in areas such as the identification and control of non-conformances, continual improvement, internal audit and quality indicators. Previous studies have shown that there is a wide variation in the definition, repertoire and collection methods for preanalytical quality indicators. The International Federation of Clinical Chemistry Working Group on Laboratory Errors and Patient Safety has defined a number of quality indicators for the preanalytical stage, and the adoption of harmonized definitions will support interlaboratory comparisons and continual improvement. There are a variety of data collection methods, including audit, manual recording processes, incident reporting mechanisms and laboratory information systems. Quality management processes such as benchmarking, statistical process control, Pareto analysis and failure mode and effect analysis can be used to review data and should be incorporated into clinical governance mechanisms. In this paper, The Association for Clinical Biochemistry and Laboratory Medicine PreAnalytical Specialist Interest Group review the various data collection methods available. Our recommendation is the use of the laboratory information management systems as a recording mechanism for preanalytical errors as this provides the easiest and most standardized mechanism of data capture.
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Affiliation(s)
- Jamie West
- Department of Clinical Biochemistry and Immunology, Peterborough City Hospital, Peterborough, UK
| | - Jennifer Atherton
- Liverpool Clinical Laboratories, Blood Sciences Department, Aintree University Hospital, Liverpool, UK
| | - Seán J Costelloe
- Derriford Combined Laboratory, Plymouth Hospitals NHS Trust, Plymouth, Devon, UK
| | | | - Adam Stretton
- Becton Dickinson Diagnostics, Preanalytical Systems (PAS), Oxford, UK
| | - Michael Cornes
- Clinical Chemistry Department, New Cross Hospital, Wolverhampton, UK
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46
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Peverill W, Atherton J. Cardiac Genetics in Queensland: A Snapshot. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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47
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Michael A, Prasad S, Hammett C, Atherton J. Impact of the Introduction of CT Coronary Angiography on Alternative Tests for the Diagnosis of Coronary Artery Disease: Australia-Wide Trends. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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48
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Khan E, Brieger D, Amerena J, Atherton J, Farshid A, Ilton M, Juergens C, Kangaharan N, Rajaratnam R, Sweeney A, Walters D, Chow C. Gender Differences in Hospital Management of ST-Elevation Myocardial Infarction Patients. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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49
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Ojji D, Lecour S, Blauwet L, Atherton J, Sliwa K. PT063 Soluble ST2 Correlates With Parameters of Right Ventricular Function in Hypertensive Heart Failure. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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50
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Moses EI, Atherton J, Lagin L, Larson D, Keane C, MacGowan B, Patterson R, Spaeth M, Van Wonterghem B, Wegner P, Kauffman R. The National Ignition Facility: Transition to a User Facility. ACTA ACUST UNITED AC 2016. [DOI: 10.1088/1742-6596/688/1/012073] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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