Publications by authors named "Israel Moshe Barbash"

Background: Transcatheter aortic valve replacement (TAVR) is an increasingly common procedure for treating severe aortic stenosis. While cardiac biomarker elevation post-TAVR is common, its correlation with outcomes remains controversial. MicroRNAs (miRNAs) have emerged as potential biomarkers in cardiovascular diseases.

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Background: While clinical practice guidelines advocate for multidisciplinary heart team (MDHT) discussions in coronary revascularization, variability in implementation across health care settings remains a challenge. This variability could potentially be addressed by language learning models like ChatGPT, offering decision-making support in diverse health care environments. Our study aims to critically evaluate the concordance between recommendations made by MDHT and those generated by language learning models in coronary revascularization decision-making.

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Article Synopsis
  • - The study compared outcomes for patients undergoing transcatheter aortic valve replacement (TAVR) who were admitted directly to a cardiology department versus those sent to a cardiac intensive care unit (CICU), focusing on the 2017-2018 cohort vs a previous CICU cohort.
  • - It found that patients admitted to the cardiology department had shorter hospital stays (median 2 days) without increased risk of complications or rehospitalizations, as in-hospital mortality rates were zero for both groups.
  • - The conclusion suggests that for stable patients after an uncomplicated TAVR procedure, direct admission to the cardiology department is a safer and more cost-effective option than CICU admission.
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The European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the European Society of Cardiology (ESC) Regulatory Affairs Committee and Women as One support continuous review and improvement, not only in the practice of assuring patients a high quality of care but also in providing health professionals with support documents to help them in their career and enhance gender equity. Recent surveys have revealed that radiation exposure is commonly reported as the primary barrier for women pursuing a career in interventional cardiology or cardiac electrophysiology (EP). The fear of foetal exposure to radiation during pregnancy may lead to a prolonged interruption in their career.

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Objective: To evaluate the association of invasive management (coronary angiogram) with all-cause mortality among older adult (≥80 years of age) patients presenting with non-ST elevation myocardial infarction (NSTEMI) by frailty status.

Patients And Methods: This study used a retrospective cohort of consecutive older adult patients who were hospitalized with NSTEMI as their primary clinical diagnosis between August 1, 2008, and December 31, 2019. Cox regression models were applied with stratification by frailty status (low, medium, and high).

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The proposed 2020 Core Curriculum for Percutaneous Cardiovascular Interventions aims to provide an updated European consensus that defines the level of experience and knowledge in the field of percutaneous cardiovascular intervention (PCI). It promotes homogenous education and training programmes among countries, and is the cornerstone of the new EAPCI certification, designed to support the recognition of competencies at the European level and the free movement of certified specialists in the European Community. It is based on a thorough review of the ESC guidelines and of the EAPCI textbook on percutaneous interventional cardiovascular medicine.

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Article Synopsis
  • Earlier TAVI trials excluded intermediate- and low-risk patients with severe aortic stenosis, but this study assessed TAVI's safety and efficacy in this group.
  • A database of 1,327 patients treated with TAVI from 2008 to 2014 was analyzed, revealing differences in demographics and health conditions across risk levels.
  • Despite some differences in procedural complications, TAVI was found to be safe for intermediate- and low-risk patients, with significantly improved outcomes compared to high-risk patients.
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