keyword
https://read.qxmd.com/read/38514329/-feasibility-and-safety-study-of-distal-radial-artery-approach-in-emergency-pci-of-elderly-stemi-patients
#21
JOURNAL ARTICLE
H Wang, N Yang, Y W Liu, Y M Li
Objective: To investigate the feasibility and safety of distal radial artery approach in emergency percutaneous coronary intervention(PCI) of elderly ST-segment elevation myocardial infarction(STEMI) patients. Methods: This study is a cross-sectional study. Elderly patients with acute myocardial infarction who received emergency PCI at the Third Central Hospital of Tianjin from January 2020 to December 2022 were selected. They were divided into the distal radial artery group and the classic radial artery group based on the puncture location...
March 24, 2024: Zhonghua Xin Xue Guan Bing za Zhi
https://read.qxmd.com/read/38513963/prognostic-value-of-follow-up-measures-of-left-ventricular-global-longitudinal-strain-in-patients-with-st-segment-elevation-myocardial-infarction
#22
JOURNAL ARTICLE
Laima Caunite, Rinchyenkhand Myagmardorj, Xavier Galloo, Dorien Laenens, Jan Stassen, Takeru Nabeta, Idit Yedidya, Maria C Meucci, Jurrien H Kuneman, Inge J van den Hoogen, Sophie E van Rosendael, Hoi Wai Wu, Victor M van den Brand, Adrian Giuca, Karlis Trusinskis, Pieter van der Bijl, Jeroen J Bax, Nina Ajmone Marsan
INTRODUCTION: After ST-segment elevation myocardial infarction (STEMI), follow-up imaging is currently recommended only in patients with left ventricular ejection fraction (LVEF) <40%. LV global longitudinal strain (GLS) showed to improve risk stratification over LVEF in these patients, but has not been thoroughly studied during follow-up. Aim of this study was to explore the changes in LVGLS after STEMI and their potential prognostic value. MATERIALS AND METHODS: Data were analyzed from an ongoing STEMI registry...
March 19, 2024: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/38511180/trends-in-incidence-and-clinical-outcome-of-non-st-elevation-myocardial-infarction-in-patients-with-amyloidosis-in-the-united-states-2010-2020
#23
JOURNAL ARTICLE
John Gharbin, Adwoa Winful, Pamela Alebna, Niyati Grewal, Ahmed Brgdar, Suchelis Rhodd, Mohammed Taha, Urooj Fatima, Prafulla Mehrotra, Anekwe Onwuanyi
STUDY OBJECTIVE: To assess temporal changes in clinical profile and in-hospital outcome of patients with amyloidosis presenting with non-ST elevation myocardial infarction, NSTEMI. DESIGN/SETTING: We conducted a retrospective observational study using the National Inpatient Sample (NIS) database from January 1, 2010, to December 31, 2020. MAIN OUTCOMES: Primary outcome of interest was trend in adjusted in-hospital mortality in patients with amyloidosis presenting with NSTEMI from 2010 to 2020...
November 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38510924/underutilization-of-left-heart-catheterization-in-kidney-transplant-patients-presenting-with-non-st-segment-elevation-myocardial-infarction
#24
JOURNAL ARTICLE
Ahmad Mustafa, Samer Asmar, Chapman Wei, John Afif, Shahkar Khan, Taqi Rizvi, Radu Grovu, Mitchell Weinberg, Suzanne El-Sayegh
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of mortality in kidney transplant (KT) patients. The perceived risk of contrast-induced nephropathy (CIN) may create a reluctance to perform coronary angiography in patients presenting with non-ST segment elevation myocardial infarction (NSTEMI). METHODS: National Inpatient Sample (NIS) Database was used to sample individuals presenting with NSTEMI. Patients were stratified into KT and Non-KT cohorts...
June 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38510288/heart%C3%A2-failure-readmission-in-patients-with-st-segment-elevation-myocardial-infarction-and-active-cancer
#25
JOURNAL ARTICLE
Mohamed Dafaalla, Dmitry Abramov, Harriette G C Van Spall, Arjun K Ghosh, Chris P Gale, Sarah Zaman, Muhammad Rashid, Mamas A Mamas
BACKGROUND: Although numerous studies have examined readmission with heart failure (HF) after acute myocardial infarction (AMI), limited data are available on HF readmission in cancer patients post-AMI. OBJECTIVES: This study aimed to assess the rates and factors associated with HF readmission in cancer patients presenting with ST-segment elevation myocardial infarction (STEMI). METHODS: A nationally linked cohort of STEMI patients between January 2005 and March 2019 were obtained from the UK Myocardial Infarction National Audit Project registry and the UK national Hospital Episode Statistics Admitted Patient Care registry...
February 2024: JACC CardioOncology
https://read.qxmd.com/read/38508657/comparison-of-troponin-and-natriuretic-peptides-in-takotsubo-syndrome-and-acute-coronary-syndrome-a-meta-analysis
#26
JOURNAL ARTICLE
Liam Steven Couch, James W Garrard, John A Henry, Rafail A Kotronias, Bashir Alaour, Giovanni Luigi De Maria, Keith M Channon, Adrian P Banning, Alexander Richard Lyon, Michael Marber, Thomas Edward Kaier
OBJECTIVE: Takotsubo syndrome (TTS) is an acute heart failure syndrome which resembles acute coronary syndrome (ACS) at presentation. Differentiation requires coronary angiography, but where this does not occur immediately, cardiac biomarkers may provide additional utility. We performed a meta-analysis to compare troponin and natriuretic peptides (NPs) in TTS and ACS to determine if differences in biomarker profile can aid diagnosis. METHODS: We searched five literature databases for studies reporting NPs (Brain NP (BNP)/NT-pro-BNP) or troponin I/T in TTS and ACS, identifying 28 studies for troponin/NPs (5618 and 1145 patients, respectively)...
March 19, 2024: Open Heart
https://read.qxmd.com/read/38507322/safety-of-helicopter-transport-in-patients-with-acute-coronary-syndrome
#27
JOURNAL ARTICLE
Alejandro Ezquerra-Osorio, Alexandra Arias-Mendoza, Mariana Robles-Ledesma, Jesús E Cruz-Martínez, Nitzha A Nájera-Rojas, Luis F de Los Ríos-Arce, Rodrigo Gopar-Nieto, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, José L Briseño-de la Cruz, José Gómez-Mont-Wiechers, Diego Araiza-Garaygordobil
BACKGROUND: ST-elevation myocardial infarction (STEMI) systems of care have reduced inter-hospital transfer times and facilitated timely reperfusion goals. Helicopters may be an option when land transportation is not feasible; however, the safety of air transport in patients with acute coronary syndrome (ACS) is a factor to consider. OBJETIVES: The aim of this study was to evaluate the safety of helicopter transport for patients with ACS. METHODS: Prospective, observational, and descriptive study including patients diagnosed with ACS within the STEMI network of a metropolitan city transferred by helicopter to a large cardiovascular center to undergo percutaneous coronary intervention...
2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38507056/short-and-long-term-outcomes-of-patients-with-active-cancer-presenting-with-an-acute-coronary-syndrome
#28
JOURNAL ARTICLE
Inbar Nardi Agmon, Ori Rahat, Roy Beigel, Tal Ovdat, Manhal Habib, Oran Tzuman, Limor Ilan Bushari, Ran Kornowski, Katia Orvin
BACKGROUND: Management of cancer patients presenting with an acute coronary syndrome (ACS) may be challenging. In this study, we sought to examine whether and how a concomitant diagnosis of active cancer affects patients' management and outcomes following an event of ACS. METHODS: We used a retrospective cohort data analysis of patients from the Acute Coronary Syndrome Israeli Survey (ACSIS) carried out between the years 2016-2021 to compare patients with and without a concomitant diagnosis of active cancer...
March 20, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38505490/deep-learning-from-atrioventricular-plane-displacement-in-patients-with-takotsubo-syndrome-lighting-up-the-black-box
#29
JOURNAL ARTICLE
Fahim Zaman, Nicholas Isom, Amanda Chang, Yi Grace Wang, Ahmed Abdelhamid, Arooj Khan, Majesh Makan, Mahmoud Abdelghany, Xiaodong Wu, Kan Liu
AIMS: The spatiotemporal deep convolutional neural network (DCNN) helps reduce echocardiographic readers' erroneous 'judgement calls' on Takotsubo syndrome (TTS). The aim of this study was to improve the interpretability of the spatiotemporal DCNN to discover latent imaging features associated with causative TTS pathophysiology. METHODS AND RESULTS: We applied gradient-weighted class activation mapping analysis to visualize an established spatiotemporal DCNN based on the echocardiographic videos to differentiate TTS (150 patients) from anterior wall ST-segment elevation myocardial infarction (STEMI, 150 patients)...
March 2024: European heart journal. Digital health
https://read.qxmd.com/read/38505483/international-evaluation-of-an-artificial-intelligence-powered-electrocardiogram-model-detecting-acute-coronary-occlusion-myocardial-infarction
#30
JOURNAL ARTICLE
Robert Herman, Harvey Pendell Meyers, Stephen W Smith, Dario T Bertolone, Attilio Leone, Konstantinos Bermpeis, Michele M Viscusi, Marta Belmonte, Anthony Demolder, Vladimir Boza, Boris Vavrik, Viera Kresnakova, Andrej Iring, Michal Martonak, Jakub Bahyl, Timea Kisova, Dan Schelfaut, Marc Vanderheyden, Leor Perl, Emre K Aslanger, Robert Hatala, Wojtek Wojakowski, Jozef Bartunek, Emanuele Barbato
AIMS: A majority of acute coronary syndromes (ACS) present without typical ST elevation. One-third of non-ST-elevation myocardial infarction (NSTEMI) patients have an acutely occluded culprit coronary artery [occlusion myocardial infarction (OMI)], leading to poor outcomes due to delayed identification and invasive management. In this study, we sought to develop a versatile artificial intelligence (AI) model detecting acute OMI on single-standard 12-lead electrocardiograms (ECGs) and compare its performance with existing state-of-the-art diagnostic criteria...
March 2024: European heart journal. Digital health
https://read.qxmd.com/read/38504353/successful-surgical-treatment-of-impending-paradoxical-embolism-with-pulmonary-embolism-and-myocardial-infarction
#31
JOURNAL ARTICLE
Yong Liu, Zhiyun Yang, Xinxin Sun, Mei Yang, Tao Zhang, Ruilin Li, Ying Wei, Hao Cao
BACKGROUND: Paradoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. CASE PRESENTATION: We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504152/paclitaxel-induced-acute-myocardial-infarction-a-case-report-and-literature-review
#32
JOURNAL ARTICLE
Gi Eun Kim, Ayman R Ibrahim, Duha Shalatouni, Nadin H Abouzeid, Fahmi Othman
BACKGROUND: Paclitaxel is a chemotherapeutic agent commonly used for ovarian, lung, breast carcinoma, and Kaposi's sarcoma. Its common side effects include hypersensitivity reaction, bone marrow suppression, and peripheral neuropathy. However, a rare and life-threatening side effect is paclitaxel-induced myocardial infarction. CASE PRESENTATION: A 71-year-old man with type 2 diabetes mellitus, hypertension, heavy smoking history, previous coronary artery disease with percutaneous coronary intervention (PCI) in left anterior descending artery (LAD), and non-small lung cancer presented with non-ST elevation myocardial infarction during infusion of paclitaxel infusion...
March 19, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38503613/efficacy-and-safety-of-tongxin-formula-after-stent-implantation-for-acute-coronary-syndrome-a-multicenter-double-blind-placebo-controlled-randomized-trial
#33
JOURNAL ARTICLE
Wen Zhu, Su Wang, Lei Zhang, Feng-Qun Xie, Jie Cheng, Xian-Kai Li, Wei Chen, Shi-Yun Yan, Qi-Mao Feng
OBJECTIVE: The aim of this study is to comprehensively evaluate both the efficacy and safety profile of integrating the Tongxin formula with optimal medical therapy (OMT) for patients experiencing acute coronary syndromes subsequent to coronary stenting, over the course of one year. METHODS: We enrolled 150 patients diagnosed with acute coronary syndromes who had received stent placement within one month and exhibited a TCM syndrome characterized by Qi deficiency and blood stasis...
March 1, 2024: Explore: the Journal of Science and Healing
https://read.qxmd.com/read/38500756/role-of-low-density-lipoprotein-electronegativity-and-sexual-dimorphism-in-contributing-early-ventricular-tachyarrhythmias-following-st-elevation-myocardial-infarction
#34
JOURNAL ARTICLE
Mei-Yao Wu, An-Sheng Lee, Yen-Nien Lin, Wei-Hsin Chung, Ke-Wei Chen, Chiung-Ray Lu, Yun-Fang Chen, Chia-Ming Chang, Wei-Chung Tsai, Yi-Tzone Shiao, Chu-Huang Chen, Kuan-Cheng Chang
BACKGROUND: Early ventricular tachycardia/fibrillation (VT/VF) in patients with ST-elevation myocardial infarction (STEMI) has higher morbidity and mortality. This study examines gender-differentiated risk factors and underlying mechanisms for early onset VT/VF in STEMI. METHODS: We analyzed data from 2,964 consecutive STEMI patients between January 1, 2008 and December 31, 2021. Early VT/VF was defined as occurrence of spontaneous VT/VF of ≥30 s or requirement of immediate cardioversion/defibrillation within the first 48 h after symptoms...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38499900/fractal-analysis-of-left-ventricular-trabeculae-in-post-stemi-from-acute-to-chronic-phase
#35
JOURNAL ARTICLE
Ruo-Yang Shi, Rui Wu, Jinjun Ran, Lang-Lang Tang, Luke Wesemann, Jiani Hu, Liang Du, Wei-Jun Zhang, Jian-Rong Xu, Yan Zhou, Lei Zhao, Jun Pu, Lian-Ming Wu
PURPOSE: The temporal evolution of ventricular trabecular complexity and its correlation with major adverse cardiovascular events (MACE) remain indeterminate in patients presenting with acute ST elevation myocardial infarction (STEMI). METHODS: This retrospective analysis enrolled patients undergoing primary percutaneous coronary intervention (pPCI) for acute STEMI, possessing cardiac magnetic resonance (CMR) data in the acute (within 7 days), subacute (1 month after pPCI), and chronic phases (6 months after pPCI) from January 2015 to January 2020 at the three participating sites...
March 18, 2024: Insights Into Imaging
https://read.qxmd.com/read/38498204/determinants-of-serious-in-hospital-complications-in-patients-with-killip-class-1-2-st-segment-elevation-myocardial-infarction-who-underwent-primary-percutaneous-coronary-intervention
#36
JOURNAL ARTICLE
Yoichi Hori, Kenichi Sakakura, Hiroyuki Jinnouchi, Yousuke Taniguchi, Takunori Tsukui, Masashi Hatori, Taku Kasahara, Yusuke Watanabe, Kei Yamamoto, Masaru Seguchi, Hideo Fujita
Killip classification has been used to stratify the risk of patients with acute myocardial infarction (AMI). There were many reports that Killip class 3 or 4 is closely associated with poor clinical outcomes. In other words, Killip class 1 or 2 is associated with favorable clinical outcomes in patients with AMI, especially when patients received primary percutaneous coronary intervention (PCI). However, some patients with Killip class 1/2 suffer from serious in-hospital complications. This study aimed to identify factors associated with serious in-hospital complications of ST-segment elevation myocardial infarction (STEMI) in patients with Killip class 1/2...
March 18, 2024: Heart and Vessels
https://read.qxmd.com/read/38497129/transient-changes-in-the-st-t-waveform-mimicking-myocardial-infarction-in-a-child-with-near-drowning-a-case-report
#37
JOURNAL ARTICLE
Jianmin Zhang, Haitao Lv, Xue Jiang, Yunjia Tang, Miao Hou
Drowning is a common cause of childhood morbidity and mortality worldwide. Anoxia, hypothermia, and metabolic acidosis are mainly responsible for this morbidity. Drowning may lead to multiple organ damage, especially cardiac damage, in cases in which severe hypothermia and hypoxemia occur. We report a case of a 4-year-old girl who was admitted to our hospital's Emergency Department because of drowning. She had elevated troponin I concentrations and ST-segment elevation with T wave inversion. However, cardiovascular computed tomography showed no obvious abnormalities in the coronary arteries...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38496897/association-of-lipopolysaccharide-with-new-onset-atrial-fibrillation-in-st-segment-elevation-myocardial-infarction
#38
JOURNAL ARTICLE
Honglong Ren, Zhonghua Wang, Yong Li, Jinqi Liu
BACKGROUND: Lipopolysaccharide (LPS) is related to various cardiovascular diseases. However, the relationship between LPS and new-onset atrial fibrillation (NOAF) after ST-segment elevation myocardial infarction (STEMI) has yet to be elucidated. This study aimed to evaluate the impact of LPS on NOAF in STEMI patients. METHODS: This was a single-center retrospective observational study including 806 patients diagnosed with STEMI. LPS levels were determined using a commercial ELISA kit...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38496261/takotsubo-syndrome-after-bilateral-simultaneous-total-knee-arthroplasty-a-case-report
#39
JOURNAL ARTICLE
Dhanasekaran Soundarrajan, Rithika Singh, Muthiah Subramaniam, Palanisami Dhanasekararaja, Natesan Rajkumar, Shanmuganathan Rajasekaran
INTRODUCTION: Cardiac complications represents a major cause of morbidity and mortality especially after bilateral simultaneous total knee arthroplasty (BS-TKA). Takotsubo syndrome after BS-TKA has not been described in the literature. CASE PRESENTATION: A 60 years-old women underwent BS- TKA and she suddenly developed bradycardia and hypotension after second knee wound closure. The electrocardiography revealed ST elevation and echocardiography showed apical hypokinesia of left ventricle...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38495410/timing-percutaneous-coronary-interventions-and-cardiovascular-events-in-non-st-elevation-myocardial-infarction-patients
#40
JOURNAL ARTICLE
Rouhollah Hemmati, Mobina Fathi, Morteza Heidarian Moghadam, Bahram Mohebbi, Kambiz Keshavarz, Ahmad Mohebbi, Asghar Rahmani
BACKGROUND: The timing of coronary angiography in patients with non-ST elevation myocardial infarction (NSTEMI) needs to be well defined. In this study, based on the timing of percutaneous coronary intervention (PCI), we evaluated the incidence of major adverse cardiovascular events (MACE) in NSTEMI patients. METHODS: In this longitudinal study, we included 156 NSTEMI patients who underwent a PCI at three time points, including <12 hr. (n = 53), 12-24 hr. (n = 54), and ≥24 hr...
2024: American Journal of Cardiovascular Disease
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