Saturday, October 18, 2014

EMBASE Cardiac Update AutoAlert: EPICORE Cardiac Surgery Blogger2

Total documents retrieved: 3

Results Generated From:
Embase <1980 to 2014 Week 42>
Embase (updates since 2014-10-10)


<1>
Accession Number
2014820001
Authors
Gao X.-F. Zhang Y.-J. Tian N.-L. Wu W. Li M.-H. Bourantas C.V. Jiang X.-M.
Wang Z.-M. Li B. Mao W.-X. Zhang J.-J. Chen S.-L.
Institution
(Gao, Zhang, Tian, Wu, Li, Jiang, Wang, Li, Mao, Zhang, Chen) Department
of Cardiology, Nanjing First Hospital, Nanjing Medical University, No. 68
Changle Road, Nanjing 210006, China
(Zhang, Bourantas) Thoraxcenter, Erasmus Medical Center, Rotterdam,
Netherlands
(Tian, Chen) Department of Cardiology, Nanjing Heart Center, Nanjing,
China
Title
Stenting strategy for coronary artery bifurcation with drug-eluting
stents: A meta-analysis of nine randomised trials and systematic review.
Source
EuroIntervention. 10 (5) (pp 561-569), 2014. Date of Publication: 01 Sep
2014.
Publisher
EuroPCR
Abstract
Conclusions: A complex strategy remains an optional treatment for patients
with coronary bifurcation lesions without severe safety concerns. A
complex strategy may be an optimal treatment for true bifurcation lesions
with large side branches. Europa Digital & Publishing 2014. All rights
reserved.

<2>
Accession Number
2014816729
Authors
Gallagher S.M. Lovell M.J. Jones D.A. Ferguson E. Ahktar A. Buckhoree Z.
Wragg A. Knight C.J. Mathur A. Smith E.J. Cliffe S. Archbold R.A. Rothman
M.T. Jain A.K.
Institution
(Gallagher, Lovell, Jones, Ferguson, Ahktar, Buckhoree, Wragg, Knight,
Mathur, Smith, Cliffe, Archbold, Rothman, Jain) Department of Cardiology,
Barts Health NHS Trust, London, United Kingdom
(Gallagher, Jones, Wragg, Knight, Mathur, Smith, Archbold, Jain) NIHR
Cardiovascular Biomedical Research Unit, London Chest Hospital, London,
United Kingdom
(Gallagher) Department of Translational Medicine and Therapeutics, William
Harvey Research, Queen Mary College, London, United Kingdom
(Jones, Mathur) Department of Clinical Pharmacology, William Harvey
Research Institute, Queen Mary College, London, United Kingdom
Title
Does a 'direct' transfer protocol reduce time to coronary angiography for
patients with non-ST-elevation acute coronary syndromes? A prospective
observational study.
Source
BMJ Open. 4 (9) , 2014. Article Number: e005525. Date of Publication:
2014.
Publisher
BMJ Publishing Group
Abstract
Conclusions: The introduction of this novel care pathway was associated
with significant reductions in time to angiography and in total hospital
bed occupancy for patients with NSTE-ACS.

<3>
Accession Number
2014816942
Authors
Rajput R.S. Das S. Makhija N. Airan B.
Institution
(Rajput, Das, Makhija) Departments of Cardiac Anesthesia, All India
Institute Medical Sciences, New Delhi, India
(Airan) Cardiothoracic and Vascular Surgery, All India Institute Medical
Sciences, New Delhi, India
Title
Efficacy of dexmedetomidine for the control of junctional ectopic
tachycardia after repair of tetralogy of Fallot.
Source
Annals of Pediatric Cardiology. 7 (3) (pp 167-172), 2014. Date of
Publication: 01 Sep 2014.
Publisher
Medknow Publications (B9, Kanara Business Centre, off Link Road, Ghatkopar
(E), Mumbai 400 075, India)
Abstract
Background: Junctional ectopic tachycardia occurs frequently after
congenital cardiac surgery and can be a cause of increased morbidity and
mortality. Dexmedetomidine (DEX) is an a2 adrenoreceptor agonist, has
properties of controlling tachyarrhythmia by regulating the
sympatho-adrenal system. Objective: To evaluate the efficacy of DEX for
control of junctional ectopic tachycardia after repair of Tetralogy of
Fallot (TOF). Materials and Methods: Two hundred and twenty pediatric
cardiac patients with TOFs were enrolled in a prospective randomized
control study. Patients underwent correction surgery. They were divided
into two groups, i.e., Group 1 (DEX) and Group 2 (control). Heart rate,
rhythm, mean arterial pressure (MAP) were recorded after the anesthetic
induction (T1), after termination of bypass (T2), after 04 hours (T3), and
08 hours after transferring the patient to intensive care unit (ICU; T4).
Results: Heart rate was comparable between two groups before starting the
drug but statistically significant after bypass until 08 hours after
transferring the patient to ICU. Junctional ectopic tachycardia occurred
more in Group-2 (20%) as compared to Group-1 (9.09%; P = 0.022).
Junctional ectopic tachycardia occurs early in Group-2 (0.14 + 0.527
hours) as compared to Group 1 (0.31 + 1.29 hours; P = 0.042). The duration
of junctional ectopic tachycardia was more prolonged in Group-2 (1.63 +
3.64 hours) as compared to Group-1 (0.382 + 1.60 hours; P = 0.012). The
time to withdraw from mechanical ventilation and ICU stay of Group 1
patient was less than of Group 2 patients (P = <0.001). Conclusion: DEX
had a therapeutic role in the prevention of junctional ectopic tachycardia
in patients undergoing repair for TOF.

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