Tagged: Journal of Cardiology

Cardio-ankle vascular index is associated with coronary plaque composition assessed with iMAP-intravascular ultrasound in patients with coronary artery disease

Acute coronary syndrome (ACS) mostly occurs owing to the rupture of vulnerable or high-risk plaques, which are characterized by the presence of a large necrotic core and a thin fibrous cap [1]. Although predicting patients with vulnerable plaques may be relevant to prognosis and optimal treatment choice, no simple, reliable, and noninvasive method has been established.

Loss of nocturnal dipping pattern of skin sympathetic nerve activity during and following an extended-duration work shift in residents in training

The Accreditation Council for Graduate Medical Education (ACGME) has been continuously improving the quality of the medical residency training system in the USA for a long time. Similar to the ACGME program, a standardized residency training programs (SRTPs) have been established and have undergone continuous promotion in China since 2012. Residents in SRTPs are routinely scheduled for extended-duration (24 or more continuous hours) work shifts (EDWSs) every 5 to 7 days. While playing an important role in graduate medical education and rendering the continuity of patient care, EDWSs unavoidably cause sleep deprivation and circadian misalignment of the residents in training.

Usefulness of cardiac fusion imaging with computed tomography and Doppler echocardiography in the assessment of conduit stenosis in complex adult congenital heart disease

Noninvasive assessment of stenotic lesions in patients with complex adult congenital heart disease (ACHD) is challenging due to its complex morphology. The simultaneous two-screen display of multidetector-computed tomography (MDCT) and real-time echogram (STDME) technology can display a virtual multi-planar reconstruction from MDCT corresponding to the same cross-sectional image from transthoracic echocardiography (TTE). We investigated the usefulness of the STDME technology for stenosis severity assessment in complex ACHD patients.

Does atrial fibrillation ablation worsen preexisting anemia? Another anemia paradox in DOAC era

Catheter ablation of atrial fibrillation (AF) has become the first-line treatment for a selected population [1]. Oral anticoagulation remains an essential treatment for patients with AF regardless of whether or not they undergo the ablation. Anemia is often encountered in subjects with AF who are on anticoagulant treatment with direct oral anticoagulants (DOACs) in clinical practice [2]. To date, preexisting anemia is not considered a predictor of major hemorrhagic complications during the periablation period [3].

Early rehabilitation after acute myocardial infarction: A nationwide inpatient database study

Acute myocardial infarction (AMI) induces myocardial ischemia with coronary stenosis. Cardiac rehabilitation has been widely performed for patients with cardiac diseases, including AMI [1], to improve physical function and the activities of daily living (ADL) [2], cardiopulmonary function [3, 4], cardiopulmonary symptoms [5], stenoses in coronary arteries [6], inflammatory responses [7], and autonomic function [8]. Cardiac rehabilitation is classified by the rehabilitation forms and contents with the timing of its introduction as follows: phase I (acute phase from cardiac disease onset to ambulation), phase II (recovery phase from ambulation, which can be divided into early recovery phase for inpatients and...

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