Tag: outcomes

Clinical Features and Etiology of Recurrent Hypertension after Adrenalectomy

Announcing a new article publication for Cardiovascular Innovations and Applications journal.

Patients who undergo adrenalectomy for unilateral primary aldosteronism (PA) may still develop post-surgery hypertension; however, the clinical characteristics and etiology of patients developing recurrent hypertension after adrenalectomy are unclear. We analyzed the records of 43 patients with recurrent elevated blood pressure after adrenalectomy, who were treated at our center. Standard routine clinical screening workup was used to identify the cause of recurrent hypertension. Causes of recurrent hypertension after adrenalectomy included essential hypertension, primary aldosteronism, obstructive sleep apnea, renal artery stenosis, and Takayasu arteritis. Before adrenalectomy, 39.5% of patients were diagnosed with confirmed or suspected PA, primarily through CT imaging.

Adrenal venous sampling (AVS) tests were not conducted on any patients, and 72.1% patients underwent partial adrenalectomy. Among all patients, elevated blood pressure was observed in 44.2% immediately post-operation, 18.6% within 1 month, 16.3% in 1–6 months, and 20.9% >6 months after operation. Most patients had hypertension of grade 2 and above. Standard endocrine functional assessment and AVS tests should be performed before adrenalectomy to ensure more accurate diagnosis and favorable post-operative outcomes. Additionally, individuals often develop essential hypertension regardless of past adrenal disease.

https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0092

CVIA is available on the ScienceOpen platform and at Cardiovascular Innovations and Applications. Submissions may be made using ScholarOne Manuscripts. There are no author submission or article processing fees. Cardiovascular Innovations and Applications is indexed in the EMBASE, EBSCO, ESCI, OCLC, Primo Central (Ex Libris), Sherpa Romeo, NISC (National Information Services Corporation), DOAJ, Index Copernicus, Research4Life and Ulrich’s web Databases. Follow CVIA on Twitter @CVIA_Journal; or Facebook.

Xilan Dong, Qianhui Ling and Jin Bian et al. Clinical Features and Etiology of Recurrent Hypertension after Adrenalectomy. CVIA. 2024. Vol. 9(1). DOI: 10.15212/CVIA.2023.0092

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Continuous Flow Left Ventricular Assist Device Therapy

Continuous Flow Left Ventricular Assist Device Therapy: A Focused Review on Optimal Patient Selection and Long-Term Follow-up Using Echocardiography

Authors: Vilaro, Juan R.; Szady, Anita; Ahmed, Mustafa M.; Dawson, Jacqueline; Aranda, Juan M.

Despite widespread awareness and use of scientifically proven life-prolonging medical and device-based therapies over the last two decades, heart failure remains a leading cause of morbidity, mortality, and health care expenditure in the United States. Mechanical circulatory support with a continuous-flow left ventricular assist device (CF-LVAD), either as a bridge to heart transplantation or as destination therapy, is an increasingly used treatment modality for patients with advanced heart failure syndromes that worsen despite their receiving standard therapies. CF-LVAD support creates unique hemodynamic alterations that must be understood to provide appropriate care for these patients before and after implantation. Echocardiography is essential in the evaluation of patients who are being considered for or are mechanically supported by CF-LVADs. Here we provide a focused clinical review on the use of echocardiography in two main aspects of the evaluation of these patients: (a) optimal patient selection for CF-LVAD support and (b) follow-up assessment of optimal pump function.

Document Type: Research Article

DOI: http://dx.doi.org/10.15212/CVIA.2015.0013

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