Coronary Artery Disease, Acute Myocardial Infarction, and a Newly Developing Ventricular Septal Defect: Surgical Repair or Percutaneous Closure?

Kulkarni, Mona Shah; Conte, Antonio Hernandez; Huang, A B S Hsun-Lun; Lubin, Lorraine; Shiota, Takahiro; Kar, Saibal

doi:10.1053/j.jvca.2011.08.006

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…During this period from the year 1997 to 2014, the total number of discharges declined for CAD cases. This finding is consistent with past studies, which showed decreasing trends of inpatient hospitalization 11,19 and discharge in patients with CAD. 19 A greater number of patients admitted and discharged for CAD were older and middle aged, and men.…”

Section: Discussionsupporting

confidence: 93%

“…This finding is consistent with past studies, which showed decreasing trends of inpatient hospitalization 11,19 and discharge in patients with CAD. 19 A greater number of patients admitted and discharged for CAD were older and middle aged, and men. Most patients with CAD who were admitted and discharged during this time had Medicare and private insurance.…”

Section: Discussionsupporting

confidence: 93%

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Hospital Utilization for Coronary Artery Disease, 1997–2014

Shakya

Cary

2022

J Cardiovasc Nurs

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Background: Coronary artery disease (CAD) is the leading cause of cardiovascular morbidity, mortality, and healthcare costs in the United States. There are few reports on how public health and payment reforms might have influenced inpatient hospital use among patients with CAD. Objective: This study describes trends in hospital discharges, hospital charges, and discharge destinations in a national sample of patients with CAD between 1997 and 2014. Methods: This was a longitudinal study with descriptive analysis of the Healthcare Cost and Utilization Project of National Inpatient Sample data. Findings: During this study period, the total number of discharges was 1333996. Patients with CAD between 65 and 84 years old were among the highest users of inpatient hospital services, followed by those in the 45to 64-year age group. The death rate increased from 5961 to 7217 per 10000 patients during this time. The mean charge increased more than 5 times, from $9100 to $49643. There was a large difference in mean hospital charges in urban ($51666) and rural ($25548) locations in 2014. Coronary artery disease patients with private insurance paid more than those with Medicaid and Medicare plans. The discharge to home and healthcare costs increased by 4.1% and 4. 8%, respectively. Conclusion and Implications: Future researchers should use data sets, such as Medicare claims/ Medical Expenditure Panel Study, that can provide comprehensive insights into patient-level factors influencing the use of inpatient care services among patients with CAD. Healthcare providers in posthospital settings should be well skilled in providing advanced cardiac rehabilitation and education to patients with CAD.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Hospital Utilization for Coronary Artery Disease, 1997–2014

Shakya

Cary

2022

J Cardiovasc Nurs

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“…106 If the shunt is large, it will precipitate acute cardiac failure and require surgical repair. 110 Management options include medical management, transcatheter closure, and surgical repair (see Figs. 19-45; also see Fig.…”

Section: Atrioventricular Groove Disruptionmentioning

confidence: 99%

“…19-45; also see Fig. [108][109][110][111] Conclusions High-resolution images of almost the entire aorta are feasible with TEE, except for the distal ascending aorta and the proximal aortic arch that is obscured by the trachea. Type III ruptures occur at the level of the papillary muscle (Fig.…”

Section: Atrioventricular Groove Disruptionmentioning

confidence: 99%

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Aneurysms and Dissections

Augoustides¹,

Cheung²

2014

Perioperative Transesophageal Echocardiography

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Guidance of Post Myocardial Infarction Ventricular Septal Defect and Pseudoaneurysm Closure

2014

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Left ventricular pseudoaneurysm and ventricular septal defect are rare but devastating complications of myocardial infarction. With medical treatment alone, the majority of patients will die from these complications. Until recently, the recommended treatment was surgical closure. These surgeries carried extreme risk due to abnormal hemodynamics, necrotic substrates and the comorbidities of these patients. Recently, trans-catheter closure was shown to be an acceptable alternative to open surgical intervention. 3D echocardiography identifies the location, size, and shape of the defect and can assess, guide, and follow up the closure procedure.

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Coronary Artery Disease, Acute Myocardial Infarction, and a Newly Developing Ventricular Septal Defect: Surgical Repair or Percutaneous Closure?

Cited by 4 publications

References 5 publications

Hospital Utilization for Coronary Artery Disease, 1997–2014

Hospital Utilization for Coronary Artery Disease, 1997–2014

Aneurysms and Dissections

Guidance of Post Myocardial Infarction Ventricular Septal Defect and Pseudoaneurysm Closure

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