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  1. Book ; Online ; E-Book: Cardiovascular calcification

    Henein, Michael Y.

    2022  

    Author's details edited by Michael Henein
    Keywords Heart/Calcification ; Arteries/Calcification ; Cor ; Artèries ; Calcificació
    Subject code 616.12
    Language English
    Size 1 online resource (294 pages)
    Publisher Springer
    Publishing place Cham, Switzerland
    Document type Book ; Online ; E-Book
    Note Includes index.
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-81515-3 ; 3-030-81514-5 ; 978-3-030-81515-8 ; 978-3-030-81514-1
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Heart failure in clinical practice

    Henein, Michael Y.

    2010  

    Author's details Michael Y. Henein (ed.)
    Language English
    Size XIV, 381 S. : Ill., graph. Darst., 24 cm
    Publisher Springer
    Publishing place Dordrecht u.a.
    Publishing country Netherlands
    Document type Book
    HBZ-ID HT016518003
    ISBN 978-1-84996-152-3 ; 1-84996-152-2 ; 9781849961530 ; 1849961530
    Database Catalogue ZB MED Medicine, Health

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  3. Article: Left ventricular ejection fraction: clinical, pathophysiological, and technical limitations.

    Vancheri, Federico / Longo, Giovanni / Henein, Michael Y

    Frontiers in cardiovascular medicine

    2024  Volume 11, Page(s) 1340708

    Abstract: Risk stratification of cardiovascular death and treatment strategies in patients with heart failure (HF), the optimal timing for valve replacement, and the selection of patients for implantable cardioverter defibrillators are based on an ... ...

    Abstract Risk stratification of cardiovascular death and treatment strategies in patients with heart failure (HF), the optimal timing for valve replacement, and the selection of patients for implantable cardioverter defibrillators are based on an echocardiographic calculation of left ventricular ejection fraction (LVEF) in most guidelines. As a marker of systolic function, LVEF has important limitations being affected by loading conditions and cavity geometry, as well as image quality, thus impacting inter- and intra-observer measurement variability. LVEF is a product of shortening of the three components of myocardial fibres: longitudinal, circumferential, and oblique. It is therefore a marker of global ejection performance based on cavity volume changes, rather than directly reflecting myocardial contractile function, hence may be normal even when myofibril's systolic function is impaired. Sub-endocardial longitudinal fibers are the most sensitive layers to ischemia, so when dysfunctional, the circumferential fibers may compensate for it and maintain the overall LVEF. Likewise, in patients with HF, LVEF is used to stratify subgroups, an approach that has prognostic implications but without a direct relationship. HF is a dynamic disease that may worsen or improve over time according to the underlying pathology. Such dynamicity impacts LVEF and its use to guide treatment. The same applies to changes in LVEF following interventional procedures. In this review, we analyze the clinical, pathophysiological, and technical limitations of LVEF across a wide range of cardiovascular pathologies.
    Language English
    Publishing date 2024-02-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2024.1340708
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: COVID-19 Prevention: Vitamin D Is Still a Valid Remedy.

    Nicoll, Rachel / Henein, Michael Y

    Journal of clinical medicine

    2022  Volume 11, Issue 22

    Abstract: Seven meta-analyses and systematic reviews and three later clinical trials argued that low vitamin D status increased susceptibility to COVID-19 and the risk of greater disease severity and mortality [ ... ]. ...

    Abstract Seven meta-analyses and systematic reviews and three later clinical trials argued that low vitamin D status increased susceptibility to COVID-19 and the risk of greater disease severity and mortality [...].
    Language English
    Publishing date 2022-11-18
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11226818
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Stride Length Predicts Adverse Clinical Events in Older Adults: A Systematic Review and Meta-Analysis.

    Bytyçi, Ibadete / Henein, Michael Y

    Journal of clinical medicine

    2021  Volume 10, Issue 12

    Abstract: Background: This meta-analysis aims to estimate the power of walking stride length as a predictor of adverse clinical events in older adults.: Methods: We searched all electronic databases until April 2021 for studies reporting stride length and ... ...

    Abstract Background: This meta-analysis aims to estimate the power of walking stride length as a predictor of adverse clinical events in older adults.
    Methods: We searched all electronic databases until April 2021 for studies reporting stride length and other spatial gait parameters, including stride velocity, stride width, step width and stride variability, and compared them with clinical outcomes in the elderly. Meta-analyses of odds ratios (ORs) of effects of stride length on clinical outcomes used the generic inverse variance method and random model effects. Clinical outcomes were major adverse events (MAEs), physical disability and mortality.
    Results: Eleven cohort studies with 14,167 patients (mean age 75.4 ± 5.6 years, 55.8% female) were included in the analysis. At 33.05 months follow up, 3839 (27%) patients had clinical adverse events. Baseline stride length was shorter, WMD -0.15 (-0.19 to -0.11,
    Conclusion: The results of this meta-analyses support the significant value of stride length for predicting life-threatening clinical events in older adults. A short stride length of ≤0.64 m accurately predicted clinical events, over and above other gait measures.
    Language English
    Publishing date 2021-06-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10122670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Myocardial Work Does Not Have Additional Diagnostic Value in the Assessment of ATTR Cardiac Amyloidosis.

    Henein, Michael Y / Lindqvist, Per

    Journal of clinical medicine

    2021  Volume 10, Issue 19

    Abstract: Background: Reduced LV longitudinal strain (GLS) and increased relative apical sparing (RELAPS) and increased wall thickness have been proposed as features for transthyretin cardiac amyloidosis (ATTR-CA). Myocardial work (MW) has recently been shown as ... ...

    Abstract Background: Reduced LV longitudinal strain (GLS) and increased relative apical sparing (RELAPS) and increased wall thickness have been proposed as features for transthyretin cardiac amyloidosis (ATTR-CA). Myocardial work (MW) has recently been shown as useful afterload independent disease marker, hence we aimed to investigate its use in differentiating ATTR-CA from heart failure with increased septal thickness but no cardiac amyloidosis (CA) (HFnCA).
    Methods: This study included patients with HF and increased septal thickness ≥ 14 mm. We included 59 patients with hereditary (ATTRv) and 27 wild type transthyretin amyloidosis (ATTRwt) described as ATTR-CA based on DPD scintigraphy. We also enrolled 30 non-amyloidosis heart failure patients with negative DPD scintigraphy, as a control group. Myocardial work (MW) was used to assess the index (GWI), constructive (GCW) and wasted (GWW) work. Relative wall thickness (RWT) and relative apical sparing (RELAPS) were tested as conventional measures.
    Results: The RWT and RELAPS were higher in ATTR-CA (
    Conclusion: Myocardial work had lower accuracy, compared to RWT or RELAPS, in identifying ATTR-CA but was better related to biomarkers. Thus, MW assessment is unlikely to have additional value in improving the diagnosis of heart failure due to ATTR-CA.
    Language English
    Publishing date 2021-09-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10194555
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Defining Coronary Slow Flow.

    Henein, Michael Y / Vancheri, Federico

    Angiology

    2021  Volume 72, Issue 9, Page(s) 805–807

    Language English
    Publishing date 2021-04-08
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80040-5
    ISSN 1940-1574 ; 0003-3197
    ISSN (online) 1940-1574
    ISSN 0003-3197
    DOI 10.1177/00033197211007702
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Derek G. Gibson-a unique scientist and cardiologist, 1936-2021.

    Henein, Michael Y / Tyberg, John V / Smiseth, Otto A

    European heart journal. Cardiovascular Imaging

    2022  Volume 23, Issue 5, Page(s) 600

    MeSH term(s) Cardiologists ; Cardiology ; Humans
    Language English
    Publishing date 2022-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2638345-7
    ISSN 2047-2412 ; 2047-2404
    ISSN (online) 2047-2412
    ISSN 2047-2404
    DOI 10.1093/ehjci/jeac024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Diastolic function assessment by echocardiography: A practical manual for clinical use and future applications.

    Henein, Michael Y / Lindqvist, Per

    Echocardiography (Mount Kisco, N.Y.)

    2020  Volume 37, Issue 11, Page(s) 1908–1918

    Abstract: Diastole is an important component of the cardiac cycle, during which time optimum filling of the ventricle determines physiological stroke volume ejected in the succeeding systole. Many factors contribute to optimum ventricular filling including venous ... ...

    Abstract Diastole is an important component of the cardiac cycle, during which time optimum filling of the ventricle determines physiological stroke volume ejected in the succeeding systole. Many factors contribute to optimum ventricular filling including venous return, left atrial filling from the pulmonary circulation, and emptying into the left ventricle. Left ventricular filling is also impacted by the cavity emptying function and also its synchronous function which may suppress early diastolic filling in severe cases of dyssynchrony. Sub-optimum LA emptying increases cavity pressure, causes enlarged left atrium, unstable myocardial function, and hence atrial arrhythmia, even atrial fibrillation. Patients with clear signs of raised left atrial pressure are usually symptomatic with exertional breathlessness. Doppler echocardiography is an ideal noninvasive investigation for diagnosing raised left atrial pressure as well as following treatment for heart failure. Spectral Doppler based increased E/A, shortened E-wave deceleration time, increased E/e', and prolonged atrial flow reversal in the pulmonary veins are all signs of raised left atrial pressure. Left atrial reduced myocardial strain is another correlate of raised cavity pressure (>15 mm Hg). In patients with inconclusive signs of raised left atrial pressure at rest, exercise/stress echocardiography or simply passive leg lifting should identify those with stiff left ventricular which suffers raised filling pressures with increased venous return.
    MeSH term(s) Diastole ; Echocardiography ; Echocardiography, Doppler ; Heart Failure ; Humans ; Ventricular Function, Left
    Language English
    Publishing date 2020-05-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.14698
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Role of Inflammation in Cardiovascular Disease.

    Henein, Michael Y / Vancheri, Sergio / Longo, Giovanni / Vancheri, Federico

    International journal of molecular sciences

    2022  Volume 23, Issue 21

    Abstract: Atherosclerosis is a chronic inflammatory disease, in which the immune system has a prominent role in its development and progression. Inflammation-induced endothelial dysfunction results in an increased permeability to lipoproteins and their ... ...

    Abstract Atherosclerosis is a chronic inflammatory disease, in which the immune system has a prominent role in its development and progression. Inflammation-induced endothelial dysfunction results in an increased permeability to lipoproteins and their subendothelial accumulation, leukocyte recruitment, and platelets activation. Recruited monocytes differentiate into macrophages which develop pro- or anti-inflammatory properties according to their microenvironment. Atheroma progression or healing is determined by the balance between these functional phenotypes. Macrophages and smooth muscle cells secrete inflammatory cytokines including interleukins IL-1β, IL-12, and IL-6. Within the arterial wall, low-density lipoprotein cholesterol undergoes an oxidation. Additionally, triglyceride-rich lipoproteins and remnant lipoproteins exert pro-inflammatory effects. Macrophages catabolize the oxidized lipoproteins and coalesce into a lipid-rich necrotic core, encapsulated by a collagen fibrous cap, leading to the formation of fibro-atheroma. In the conditions of chronic inflammation, macrophages exert a catabolic effect on the fibrous cap, resulting in a thin-cap fibro-atheroma which makes the plaque vulnerable. However, their morphology may change over time, shifting from high-risk lesions to more stable calcified plaques. In addition to conventional cardiovascular risk factors, an exposure to acute and chronic psychological stress may increase the risk of cardiovascular disease through inflammation mediated by an increased sympathetic output which results in the release of inflammatory cytokines. Inflammation is also the link between ageing and cardiovascular disease through increased clones of leukocytes in peripheral blood. Anti-inflammatory interventions specifically blocking the cytokine pathways reduce the risk of myocardial infarction and stroke, although they increase the risk of infections.
    MeSH term(s) Humans ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/metabolism ; Plaque, Atherosclerotic/pathology ; Inflammation/metabolism ; Monocytes/metabolism ; Lipoproteins/metabolism ; Cytokines/metabolism
    Chemical Substances Lipoproteins ; Cytokines
    Language English
    Publishing date 2022-10-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms232112906
    Database MEDical Literature Analysis and Retrieval System OnLINE

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