Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

Aortic Regurgitation III: Medical Management

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Cardiomyopathy V: Interprofessional Care

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...

Aortic Regurgitation IV: Nursing Management

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

CASC15 dictates vascular smooth muscle cell growth fate and pathological vascular remodeling through post-transcription regulation of mitotic fidelity.

bioRxiv : the preprint server for biology·2026

Same author

Post-market safety profile of the CardioMEMS HF System: A MAUDE disproportionality and network analysis.

Cardiovascular revascularization medicine : including molecular interventions·2026

Same author

Grapefruit-Mavacamten Interaction Leading to Reduced Ejection Fraction: When Energy Drinks Aren't So Energizing.

JACC. Case reports·2026

Same author

Draft genome sequencing of a <i>Staphylococcus aureus</i> clinical isolate from an inflamed wound.

Microbiology resource announcements·2026

Same author

GLP-1 Receptor Agonist Use Is Associated with Venous Ulcer Healing and Fewer Wound Infections.

Annals of vascular surgery·2026

Same author

GPR39 activation inhibits AQP2 trafficking and alters cytoskeletal organization.

American journal of physiology. Cell physiology·2026

Search research articles

Related Experiment Video

Updated: Sep 11, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Novel Multidisciplinary Cardiometabolic Prehabilitation for Inoperable Aortic Aneurysm Management.

Trevor T Lovell¹, Sudha L Arulalan², Ibrahim A Ahmed³

¹Department of Internal Medicine, Charleston Area Medical Center Institute for Academic Medicine, Charleston, West Virginia, USA.

JACC. Case Reports

|August 15, 2025

Summary

Prehabilitation programs like Advanced Cardiac Energetics (ACE) can help optimize high-risk patients for surgery. This multidisciplinary approach enables life-saving cardiothoracic procedures for those previously inoperable.

Keywords:

cardiac surgery diabetes functional status high-risk hypertension obesity

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Related Experiment Videos

Last Updated: Sep 11, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Area of Science:

Cardiothoracic surgery
Prehabilitation
Cardiometabolic disease

Background:

Preoperative health optimization is crucial for reducing surgical complications.
Patients with severe cardiometabolic disease and poor functional status pose significant challenges.
Limited prehabilitation strategies exist for obese, deconditioned individuals.

Observation:

A 59-year-old male with a large ascending aortic aneurysm was ineligible for surgery due to obesity and comorbidities.
He participated in the Advanced Cardiac Energetics (ACE) program, a virtual multidisciplinary intervention.
The program included lifestyle modifications, intermittent fasting, and mindfulness practices.

Findings:

Over seven months, the patient experienced significant improvements in weight, blood pressure, and functional capacity.
These improvements enabled him to successfully undergo the necessary aneurysm repair surgery.
The ACE program demonstrated its efficacy in preparing a high-risk patient for a major cardiothoracic procedure.

Implications:

Advanced Cardiac Energetics (ACE) can expand surgical eligibility for high-risk patient populations.
Multidisciplinary cardiometabolic care programs can serve as a model for comprehensive preoperative optimization.
This approach may enable life-saving cardiothoracic surgery for patients previously deemed inoperable.