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Smart Technology – a Future Field in Acute Cardiac Care

REFERENCES 1. Tian M, Ajay VS, Dunzhu D, et al. A Cluster-Randomized, Controlled Trial of a Simplified Multifaceted Management Program for Individuals at High Cardiovascular Risk (SimCard Trial) in Rural Tibet, China, and Haryana, India. Circulation. 2015;132:815-824. doi:10.1161/CIRCULATIONAHA.115.015373. 2. Bohavnani SP, Narula J, Sengupta PP. Mobile technology and the digitalization of healthcare. Eur Heart J. 2016;37:1428-1438. https://doi.org/10.1093/eurheartj/ehv770 . 3. Abraham WT, Adamson PB, Bourge RC, et al. Wireless pulmonary artery

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Noninvasive Functional Characterization of Coronary Plaques by Coronary Computed Tomography – Beyond the Morphology of Vulnerable Plaques

Aggressive Drug Evaluation (COURAGE) trial nuclear substudy. Circulation . 2008;117:1283-1291. 16. Muller O, Mangiacapra F, Ntalianis A, et al. Long-term follow-up after fractional flow reserve-guided treatment strategy in patients with an isolated proximal left anterior descending coronary artery stenosis. JACC Cardiovasc Interv . 2011;4:1175-1182. 17. Kim KH, Doh JH, Koo BK, et al. A Novel Noninvasive Technology for Treatment Planning Using Virtual Coronary Stenting and Computed Tomography-Derived Computed Fractional Flow Reserve. JACC Cardiovasc Interv

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An Overview of Disease Burden, Mechanism, Traditional and Non-traditional Management of Type 2 Diabetes

-Chetachi WF, Akram H, Poovelil BV. Oral health status of six-year-old children in Qatar: findings from the national oral health survey. Int J Dent Hyg . 2018;16:225-232. 12. Akram H. An overview of non-surgical approaches and their role in Type 2 Diabetes remission. International Journal of Biosciences and Technology . 2017;10:26. 13. Spranger J, Kroke A, Möhlig M, et al. Inflammatory cytokines and the risk to develop type 2 diabetes: results of the prospective population-based European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study

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Modern Technology for Prevention of Sudden Cardiac Death – a Clinical Update on Device Therapy in Children with Congenital Heart Diseases

Abstract

Sudden cardiac death in children is one of the most devastating conditions that can be encountered in acute cardiac care. Intracardiac device therapy, providing prompt and effective treatment in malignant ventricular arrhythmia or in severe conduction abnormalities, is a promising tool to reduce the incidence of this fatal condition. However, the implementation of device-based therapy in the pediatric population is currently limited by the lack of clinical studies on large number of subjects. As a result, indications for device therapy in pediatric patients are still unclear in many circumstances. There are also several particularities related to device implantation in pediatric age, such as the somatic growth leading to a mismatch between chamber size and lead length, or the difficulties of implantation technique in children with small body weight. This study aims to present an update on the current advantages and limitations of device-based therapy for treating severe malignant arrhythmia or conduction disorders in children at risk for sudden cardiac death.

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Thrombus Aspiration, from “Heart to Soul”

Abstract

Microvascular obstruction (MVO) is one of the most frequent complications encountered during primary percutaneous coronary intervention in patients with acute ST-segment elevation myocardial infarction. The embolization of thrombotic material seems to be the leading cause of MVO, and many clinical trials have demonstrated that thrombus aspiration (TA) may be a useful means of preventing this phenomenon. Continuous advancements in technology have contributed to the development of various devices for thrombus aspiration. However, a review of the literature indicates that there is disagreement regarding the role of TA in the prevention and treatment of MVO. TA is increasingly used in the treatment of acute stroke in patients who are admitted to the hospital within eight hours from the onset of symptoms. This review presents the current knowledge regarding the role of TA in the prevention of MVO.

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New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes

Abstract

Coronary angiography is still the most widely used method for the assessment of lumen of coronary arteries and for diagnosis and treatment of coronary artery disease. New imaging modalities of coronary arteries play an increasing role in interventional cardiology. Intravascular ultrasound (IVUS) is the oldest technology, however due to its high tissue penetration remains very important for imaging of left main coronary artery and saphenous vein grafts. IVUS was used in many clinical trials and clinical experience with it is huge. Optical coherence tomography (OCT) is a new, very fast developing method. It has ten times higher axial resolution than IVUS. It gives us the opportunity to assess the inner structures of coronary artery wall, to evaluate the characteristics of atherosclerotic plaques, quality of stent implantation and its healing. It helps us to find the culprit lesion of acute coronary syndrome in some cases, to diagnose the cause of stent thrombosis, and to evaluate stent apposition which has a direct relation to prognosis. We use it to perform complex percutaneous coronary interventions and after heart transplantation to diagnose the vascular graft disease. We strongly believe that OCT is important for the assessment of plaque instability and patient´s prognosis. Near infrared spectroscopy combined with IVUS can distinguish fibrous from lipid core plaques. Lipid core burden index is in relation to a risk of periprocedural myocardial infarction and to prognosis. It is the only method which can sufficiently detect the amount of lipids in coronary wall.

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Nutritional Status and Clinical Outcomes of Cardiac Patients in Acute Settings

. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8:514-527. doi: 10.3390/ijerph8020514. 8. Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41:469-473. 9. Trtovac D, Lee J. The Use of Technology in Identifying Hospital Malnutrition: Scoping Review. JMIR Med Inform. 2018;6:e4. doi: 10.2196/medinform.7601. 10. Carr JG, Stevenson LW, Walden JA, Heber D

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Clinical update. Computed Tomography — an Emerging Tool for Triple Rule-Out in the Emergency Department. A Review

practice. Circulation. 2006;113:1305-1310. doi: 10.1161/ CIRCULATIONAHA.105.602490. 32. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26:1482-1437. doi: 10.1093/eurheartj/ehi261. 33. Takakuwa KM, Halpern EJ, Gingold EL, Levin DC, Shofer FS. Radiation dose in a “triple rule-out” coronary CT angiography protocol of emergency department patients using 64-MDCT: the impact of ECG-based tube current modulation on age, sex, and body mass index. AJR Am J

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