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Pulmonology

Cardiology   

Questions discussed in this category

What has been your stepwise approach to oxygenation, including when to consider the use of inhaled nitric oxide or epoprostenol, in refractory hypoxemia due to cardiogenic pulmonary edema in patients who are otherwise not ECMO candidates?
1 Answer available
How soon would you repeat PET/CT in a patient with cardiac sarcoid after starting treatment with infliximab?
Pre-treatment troponin was mildly elevated, while ILR2 receptor, ACE, CRP, ESR were normal. 
1 Answer available
Do shorter door-to-balloon (D2B) times impact outcomes in STEMI, if it's already less than 90 minutes, and to what degree (i.e., 30 vs 60 minutes would have a more significant impact)?
1 Answer available
What factors do you consider for patients on an individual basis when establishing a post-cardiac arrest MAP goal after ROSC is achieved, considering some may benefit from higher MAP goals for optimal cerebral perfusion?
1 Answer available
How do you manage patients with central sleep apnea due to heart failure with reduced ejection fraction?
Are there specific scenarios in which you employ BPAP with a back up rate?
1 Answer available
Do you routinely perform echocardiography in patients with Staphylococcus aureus bacteremia deemed low risk for metastatic infection, or do you selectively omit it based on specific clinical criteria?
Hendriks, et al., PMID 38576380
2 Answers available
What are first-line choices for vasopressors/inotropes to use in hypotensive patients with Eisenmenger Syndrome?
1 Answer available
How would you manage cardiac sarcoid with intolerance/contraindications to methotrexate, azathioprine, and mycophenolate/mycophenolic acid and that has proven refractory to adalimumab and infliximab as determined by PET?
2 Answers available
What are your top takeaways from ISHLT 2024?
1 Answer available
Is there a role for repeat surveillance blood cultures in patients with prosthetic valve endocarditis without associated cardiac abscess after a 6 week course of antibiotic treatment without surgical intervention?
1 Answer available
In what clinical scenarios do you utilize post-cardiac arrest targeted temperature management (TTM)?
In the span between the HACA trial and the Targeted Temperature Management in Out-of-Hospital Cardiac Arrest study (Dankiewicz et al., PMID 34133859),...
1 Answer available
What is your preferred mechanism for venting the left ventricle in patients on VA-ECMO?
2 Answers available
How do you risk stratify patients with different WHO groups of pulmonary hypertension prior to non-cardiac surgeries?
And who would you not recommend to undergo surgeries?
1 Answer available
What would be your second pressor of choice if patients with LVOT obstruction remain persistently hypotensive on phenylephrine?
1 Answer available
Do you routinely use vasopressin in the management of RV failure leading to shock state in the absence of an obvious treatable cause such as infarction or PE?
2 Answers available
What is your approach to monitoring patients with cardiac sarcoid while tapering immunosuppression?
Do you obtain serial cardiac PET scans?
1 Answer available
What is your approach to a patient who has a cardiac PET scan suggestive of sarcoid but no other supporting evidence of a diagnosis of sarcoid?
Do you typically push for myocardial biopsy in this case? 
1 Answer available
What is your approach to volume resuscitation in patients with obvious septic shock but also with a component of suspected cardiogenic shock?
4 Answers available
What strategies do you employ to minimize the risk of cardiovascular collapse when intubating a patient with severe pulmonary hypertension?
Do you favor awake intubation in these cases?
2 Answers available
Which hemodynamic parameters can be used to titrate positive pressure ventilation in preload dependent settings such as RV failure, cardiac tamponade, HOCM or hemodynamically significant PE?
2 Answers available
What are your preferred ventilatory settings/mode(s) for patients with acute hypoxic respiratory failure presenting with severe biventricular dysfunction in cardiogenic shock?
1 Answer available
Do you consider the use of bevacizumab in patients with HHT who have high output cardiac failure related to liver AVMs who also have cerebral AVMs?
1 Answer available
What criteria do you use on echocardiogram and PFT to determine who needs further evaluation for CTD-associated pulmonary hypertension?
1 Answer available
What steroid sparing agent do you use for treatment of cardiac sarcoidosis?
Does the type of cardiac involvement impact this choice?
2 Answers available
How do you manage calcium and vitamin D supplementation in patients with sarcoidosis on chronic steroids?
1 Answer available


Papers discussed in this category

Semin Arthritis Rheum, 2020 Jun
TNF-alpha inhibition for the treatment of cardiac sarcoidosis.
Intern Med, 2014 Dec 01
Treatment with methotrexate and low-dose corticosteroids in sarcoidosis patients with cardiac lesions.
J Am Heart Assoc, 2019 Sep 06
Long-Term Corticosteroid-Sparing Immunosuppression for Cardiac Sarcoidosis.
Clin Rheumatol, 2007 Mar 30
Cardiac sarcoidosis responding to monotherapy with infliximab.
Eur Heart J, 2015 Aug 29
2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT).
Eur Respir J, 2019 Jan 24
Diagnosis of pulmonary hypertension.
JAMA,
Bevacizumab in patients with hereditary hemorrhagic telangiectasia and severe hepatic vascular malformations and high cardiac output.
Ann Intern Med, 2020 Sep 08
Second International Guidelines for the Diagnosis and Management of Hereditary Hemorrhagic Telangiectasia.
Journal of the American College of Cardiology, 2018-09-25
Positive Pressure Ventilation in the Cardiac Intensive Care Unit.
The New England journal of medicine, 2002-02-21
Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia.
N Engl J Med, 2013 Nov 17
Targeted temperature management at 33°C versus 36°C after cardiac arrest.
Cureus, 2022 Sep 11
Targeted Temperature Management After Cardiac Arrest: A Systematic Review.
Crit Care, 2020 Jan 06
High Quality Targeted Temperature Management (TTM) After Cardiac Arrest.
Circulation, 2015 Sep 15
Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association.
The Annals of thoracic surgery, 2017 Feb 04
Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies.
European heart journal, 2023 Oct 14
2023 ESC Guidelines for the management of endocarditis.
Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2014-04-18
The WASOG Sarcoidosis Organ Assessment Instrument: An update of a previous clinical tool.
Heart rhythm, 2014-07
HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis.
Circulation journal : official journal of the Japanese Circulation Society, 2019 Oct 09
JCS 2016 Guideline on Diagnosis and Treatment of Cardiac Sarcoidosis　- Digest Version.
Journal of the American Heart Association, 2024 Jan 19
Impella Versus Intra-Aortic Balloon Pump in Patients With Cardiogenic Shock Treated With Venoarterial Extracorporeal Membrane Oxygenation: An Observational Study.
Perfusion, 2021 Jul 28
Veno-arterial extracorporeal membrane oxygenation with concomitant Impella versus concomitant intra-aortic-balloon-pump for cardiogenic shock.
Current problems in cardiology, 2022 Sep 26
Impella Versus Extracorporeal Membranous Oxygenation (ECMO) for Cardiogenic Shock: A Systematic Review and Meta-analysis.
Arrhythmia & electrophysiology review, 2020 Dec
Management of Cardiac Sarcoidosis in 2020.
Circulation, 2023 Mar 16
Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association.
The European respiratory journal, 2023 Feb 09
Effect of adaptive servo-ventilation for central sleep apnoea in systolic heart failure on muscle sympathetic nerve activity: a SERVE-HF randomised ancillary study.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2017 Nov 15
Distinct Patterns of Hyperpnea During Cheyne-Stokes Respiration: Implication for Cardiac Function in Patients With Heart Failure.
Transplantation, 2024 Mar 28
Comparing Plasma Donor-derived Cell-free DNA to Gene Expression in Endomyocardial Biopsies in the Trifecta-Heart Study.
Transplant international : official journal of the European Society for Organ Transplantation, 2023 Oct 30
Absolute Quantification of Donor-Derived Cell-Free DNA in Pediatric and Adult Patients After Heart Transplantation: A Prospective Study.
The New England journal of medicine, 2013-09-05
Door-to-balloon time and mortality among patients undergoing primary PCI.
International journal of cardiology. Heart & vasculature, 2021 Apr 29
Non-steroidal treatment of cardiac sarcoidosis: A systematic review.
The New England journal of medicine, 2000-05-04
Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.
Respiratory care, 2011-11
Long-term survival in patients with tracheostomy and prolonged mechanical ventilation in Olmsted County, Minnesota.
JAMA, 2005 Dec 28
Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis.
Respiratory care, 2011 Oct
Approaches to conventional mechanical ventilation of the patient with acute respiratory distress syndrome.
The New England journal of medicine, 2013 May 20
Prone positioning in severe acute respiratory distress syndrome.

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