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https://www.readbyqxmd.com/read/27579543/fondaparinux-versus-enoxaparin-which-is-the-best-anticoagulant-for-acute-coronary-syndrome-brazilian-registry-data
#1
Alexandre de Matos Soeiro, Pedro Gabriel Melo de Barros E Silva, Eduardo Alberto de Castro Roque, Aline Siqueira Bossa, Maria Cristina César, Sheila Aparecida Simões, Mariana Yumi Okada, Tatiana de Carvalho Andreucci Torres Leal, Fátima Cristina Monteiro Pedroti, Múcio Tavares de Oliveira
Background: Recent studies have shown fondaparinux's superiority over enoxaparin in patients with non-ST elevation acute coronary syndrome (ACS), especially in relation to bleeding reduction. The description of this finding in a Brazilian registry has not yet been documented. Objective: To compare fondaparinux versus enoxaparin in in-hospital prognosis of non-ST elevation ACS. Methods: Multicenter retrospective observational study. A total of 2,282 patients were included (335 in the fondaparinux group, and 1,947 in the enoxaparin group) between May 2010 and May 2015...
September 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27374045/cardiovascular-prevention-and-rehabilitation-in-the-elderly-evidence-for-cardiac-rehabilitation-after-myocardial-infarction-or-chronic-heart-failure
#2
Francesco Fattirolli, Alessandra Pratesi
Cardiac rehabilitation in the elderly today often represents a utopia. The international scientific literature takes little into account this type of prescription for old people, although they represent a large and growing proportion of cardiac patients, with acute coronary syndrome or heart failure, which we have to manage in everyday life. Furthermore, interventions of health education, clinical follow up, rehospitalisation prevention and prescription of tailored exercise, are sometimes more necessary in this kind of patients, given the presence of multimorbidity, functional dependence, frailty, sarcopenia, social neglect...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/27374037/current-activities-of-cardiovascular-rehabilitation-in-the-ambulatory-setting-of-the-lombardy-region
#3
Marco Ambrosetti, Roberto F E Pedretti, Mario Facchini, Gabriella Malfatto, Salvatore Pio Riccobono, Oreste Febo, Tommaso Diaco
In the present work, the current activities of Cardiovascular Rehabilitation and Prevention (CRP) in the ambulatory setting of the Lombardy Region (Italy) are described. Based on the 2012 Legislation, ambulatory CRP is delivered by means of three programme categories (MAC 6, 7, and 8) with different degrees of intensity. The patient evaluation of global cardiovascular/clinical risk, comorbidity, and disability is the cornerstone for MAC prescription. Following the organization of MAC activities, a survey on 327 patients was carried out by the regional network of the Italian Society of Cardiovascular Rehabilitation (GICR-IACPR)...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/27362592/impact-of-frailty-and-other-geriatric-syndromes-on-clinical-management-and-outcomes-in-elderly-patients-with-non-st-segment-elevation-acute-coronary-syndromes-rationale-and-design-of-the-longevo-sca-registry
#4
Oriol Alegre, Albert Ariza-Solé, María T Vidán, Francesc Formiga, Manuel Martínez-Sellés, Héctor Bueno, Juan Sanchís, Ramón López-Palop, Emad Abu-Assi, Àngel Cequier
The incidence of acute coronary syndromes (ACS) is high in the elderly. Despite a high prevalence of frailty and other aging-related variables, little information exists about the optimal clinical management in patients with coexisting geriatric syndromes. The aim of the LONGEVO-SCA registry (Impacto de la Fragilidad y Otros Síndromes Geriátricos en el Manejo y Pronóstico Vital del Anciano con Síndrome Coronario Agudo sin Elevación de Segmento ST) is to assess the impact of aging-related variables on clinical management, prognosis, and functional status in elderly patients with ACS...
July 2016: Clinical Cardiology
https://www.readbyqxmd.com/read/25935075/a-conservative-strategy-in-non-st-segment-elevation-myocardial-infarction-constraints-and-prognosis-the-situation-in-portugal
#5
Davide Moreira, Bruno Marmelo, Anne Delgado, Luís Nunes, João Pipa, Oliveira Santos
INTRODUCTION AND OBJECTIVES: The aim of this study was to assess the impact of a conservative strategy in non-ST-segment elevation myocardial infarction in patients in the Portuguese Registry of Acute Coronary Syndromes. METHODS: The 3780 patients included in the study over a three-year period were divided into three groups: group 1, patients treated by a conservative strategy during hospitalization; group 2, patients who underwent coronary angiography without percutaneous coronary intervention (PCI); and group 3, patients who underwent PCI...
May 2015: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/25651344/clinical-coronary-in-stent-restenosis-follow-up-after-treatment-and-analyses-of-clinical-outcomes
#6
Barbara Campos Abreu Marino, Guilherme Abreu Nascimento, Walter Rabelo, Marcos Antônio Marino, Roberto Luiz Marino, Antonio Luiz Pinho Ribeiro
BACKGROUND: Clinical in-stent restenosis (CISR) is the main limitation of coronary angioplasty with stent implantation. OBJECTIVE: Describe the clinical and angiographic characteristics of CISR and the outcomes over a minimum follow-up of 12 months after its diagnosis and treatment. METHODS: We analyzed in 110 consecutive patients with CISR the clinical presentation, angiographic characteristics, treatment and combined primary outcomes (cardiovascular death, nonfatal acute myocardial infarction [AMI]) and combined secondary (unstable angina with hospitalization, target vessel revascularization and target lesion revascularization) during a minimal follow-up of one year...
May 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25590933/focused-cardiac-ultrasound-using-a-pocket-size-device-in-the-emergency-room
#7
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
BACKGROUND: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. OBJECTIVE: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. METHODS: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included...
December 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25517388/prevalence-of-burnout-syndrome-in-patients-admitted-with-acute-coronary-syndrome
#8
Ana Cláudia Giaxa Prosdócimo, Luciane Boreki Lucina, Olandoski Marcia, Priscila Megda João Jobs, Nicolle Amboni Schio, Fernanda Fachin Baldanzi, Costantino Ortiz Costantini, Ana Maria Teresa Benevides-Pereira, Luiz Cesar Guarita-Souza, José Rocha Faria-Neto
BACKGROUND: Burnout Syndrome is the extreme emotional response to chronic occupational stress, manifesting as physical and mental exhaustion. Although associated with higher prevalence of cardiovascular risk factors, no study so far has evaluated whether the Burnout Syndrome could be a prevalent factor in non-elderly individuals active in the labor market, admitted for acute coronary syndrome (ACS). OBJECTIVE: To evaluate the prevalence of the Burnout Syndrome in non-elderly, economically active patients, hospitalized with ACS...
March 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25352461/focused-cardiac-ultrasound-using-a-pocket-size-device-in-the-emergency-room
#9
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
Background: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. Objective: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. Methods: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included. Patients with ischemic changes in the electrocardiography or fever were excluded...
October 28, 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25312887/non-st-elevation-acute-coronary-syndromes-in-octogenarians-applicability-of-the-grace-and-crusade-scores
#10
Ana Faustino, Paula Mota, Joana Silva
INTRODUCTION: Assessment of ischemic and bleeding risk is critical for the management of elderly patients with acute coronary syndromes, but it has been little studied. OBJECTIVE: This study aims to assess the applicability of the GRACE and CRUSADE scores in patients aged ≥80 years with non-ST-elevation acute coronary syndrome (NSTE-ACS), and to identify the main predictors of in-hospital mortality and major bleeding in this population. METHODS: We analyzed 544 patients aged ≥80 years with NSTE-ACS included in the Portuguese Registry on Acute Coronary Syndromes and identified the predictors of in-hospital mortality and major bleeding during hospitalization...
October 2014: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/24776496/mascara-manejo-del-s%C3%A3-ndrome-coronario-agudo-registro-actualizado-study-general-findings
#11
Ignacio Ferreira-González, Gaietà Permanyer-Miralda, Jaume Marrugat, Magda Heras, José Cuñat, Emilia Civeira, Fernando Arós, Juan J Rodríguez, Pedro L Sánchez, Héctor Bueno
INTRODUCTION AND OBJECTIVES: To investigate the clinical characteristics and treatment of acute coronary syndromes (ACS), and to determine the effects of an early invasive strategy (EIS) in non-ST-elevation ACS (NSTEACS) and of primary percutaneous coronary intervention (PCI) in ST-elevation ACS (STEACS). METHODS: Data were collected prospectively for 9 months during 2004-2005 from 50 hospitals, which were randomly selected according to the level of care provided...
2008: Revista Española de Cardiología
https://www.readbyqxmd.com/read/24774175/management-of-non-st-segment-elevation-acute-coronary-syndromes-in-spain-the-descartes-descripci%C3%A3-n-del-estado-de-los-s%C3%A3-ndromes-coronarios-agudos-en-un-registro-temporal-espa%C3%A3-ol-study
#12
Héctor Bueno, Alfredo Bardají, Antonio Fernández-Ortiz, Jaume Marrugat, Helena Martí, Magda Heras
INTRODUCTION AND OBJECTIVES: There is little information regarding the management of non-ST segment elevation acute coronary syndromes (NSTE ACS) in Spain from a population-based perspective. Our objective was to study the status of clinical care in patients with NSTE ACS in Spain from a representative perspective of the situation on a national level. PATIENTS AND METHOD: A prospective registry was used for consecutive patients with NSTE ACS admitted to 52 Spanish hospitals with different cardiological facilities...
March 2005: Revista Española de Cardiología
https://www.readbyqxmd.com/read/24773810/an-invasive-strategy-in-non-st-segment-elevation-acute-coronary-syndromes-from-large-trials-to-the-real-world
#13
Vicent Bodí, Juan Sanchís, Angel Llácer, Lorenzo Fácila, Julio Núñez, Mauricio Pellicer, Vicente Bertomeu, Vicent Ruiz, María J Bosch, Luciano Consuegra, Diego García, Francisco J Chorro
INTRODUCTION AND OBJECTIVES: We report the impact on prognosis of an invasive strategy used at our center for non-ST-segment elevation acute coronary syndrome. PATIENTS AND METHOD: We analyzed 504 consecutive patients with typical chest pain, electrocardiographic changes or increased troponin I serum values, who were divided into 2 cohorts: a) conservative group, 272 patients admitted between October 2001 and September 2002 and managed with a conservative strategy, and b) invasive group, 232 patients admitted between October 2002 and September 2003 for whom an invasive strategy was recommended...
December 2004: Revista Española de Cardiología
https://www.readbyqxmd.com/read/24502933/multivessel-approach-in-st-elevation-myocardial-infarction-impact-on-in-hospital-morbidity-and-mortality
#14
Ana Rita Santos, Bruno Cordeiro Piçarra, Margarida Celeiro, Ângela Bento, José Aguiar
INTRODUCTION: Multivessel disease in ST-elevation myocardial infarction (STEMI) is associated with a worse prognosis. A multivessel approach at the time of primary percutaneous coronary intervention (PCI) is the subject of debate. OBJECTIVE: To assess the impact of a multivessel approach on in-hospital morbidity and mortality in patients with STEMI undergoing primary PCI. METHODS: We studied patients from the Portuguese Registry of Acute Coronary Syndromes with STEMI and multivessel disease who underwent primary PCI...
February 2014: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/24359873/laws-restricting-smoking-in-public-places-reduce-the-incidence-of-acute-coronary-syndrome-in-spain
#15
Jaime Fernández de Bobadilla, Regina Dalmau, Enrique Galve
No abstract text is available yet for this article.
December 17, 2013: Revista Española de Cardiología
https://www.readbyqxmd.com/read/23494467/risk-factors-therapeutic-approaches-and-in-hospital-outcomes-in-mexicans-with-st-elevation-acute-myocardial-infarction-the-renasica-ii-multicenter-registry
#16
MULTICENTER STUDY
Úrsulo Juárez-Herrera, Carlos Jerjes-Sánchez
BACKGROUND: Ischemic heart disease is a growing health problem in Latin America. We aimed to analyze risk factors, acute management, and short-term outcome of Mexicans with ST-elevation myocardial infarction (STEMI). HYPOTHESIS: Modifiable risk factors are associated with the occurrence of STEMI in Mexicans, and potentially preventable acute complications are responsible for most short-term deaths. METHODS: Among 8600 patients enrolled in Registro Nacional de los Síndromes Coronarios Agudos II (RENASICA II) with a suspected acute coronary syndrome, we analyzed 4555 patients (56%; age 21-100 y) with confirmed STEMI who presented within 24 hours from symptoms' onset...
May 2013: Clinical Cardiology
https://www.readbyqxmd.com/read/23114538/influence-of-hba1c-levels-on-platelet-function-profiles-associated-with-tight-glycemic-control-in-patients-presenting-with-hyperglycemia-and-an-acute-coronary-syndrome-a-subanalysis-of-the-chips-study-control-de-hiperglucemia-y-actividad-plaquetaria-en-pacientes
#17
RANDOMIZED CONTROLLED TRIAL
David Vivas, Juan C García-Rubira, Esther Bernardo, Dominick J Angiolillo, Patricia Martín, Alfonso Calle-Pascual, Iván Núñez-Gil, Carlos Macaya, Antonio Fernández-Ortiz
Patients with hyperglycemia, an acute coronary syndrome and poor glycemic control have increased platelet reactivity and poor prognosis. However, it is unclear the influence of a tight glycemic control on platelet reactivity in these patients. This is a subanalysis of the CHIPS study. This trial randomized patients with hyperglycemia to undergo an intensive glucose control (target blood glucose 80-120 mg/dL), or conventional glucose control (target blood glucose <180 mg/dL). We analyzed platelet function at discharge on the subgroup of patients with poor glycemic control, defined with admission levels of HbA1c higher than 6...
February 2013: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/21718242/safety-and-efficacy-of-tirofiban-as-adjunctive-therapy-for-patients-with-st-elevation-myocardial-infarction-a-comparison-versus-placebo-and-abciximab
#18
REVIEW
Jose F Diaz, Rosa Cardenal, Antonio Gomez-Manchero, Carlos Sanchez-Gonzalez
Tirofiban is a nonpeptide tyrosine derivative that together with eptifibatide (both small molecules) and abciximam belongs to the group of glycoprotein IIb/IIIa inhibitors. Though similar to abciximab in that it has a high affinity for the GP IIbIIIa inhibitor receptor, tirofiban dissociates from it much faster tan abciximab, what makes its action reversible in a few hours. Initially used upstream for treatment of patients with non ST-elevation acute coronary síndromes, recent evidence has shown its role as adjuntive therapy in patients with ST-elevation acute myocardial infarction treated with primary angioplasty when used at a higher dose...
July 1, 2011: Cardiovascular & Hematological Agents in Medicinal Chemistry
https://www.readbyqxmd.com/read/21378389/effects-of-intensive-glucose-control-on-platelet-reactivity-in-patients-with-acute-coronary-syndromes-results-of-the-chips-study-control-de-hiperglucemia-y-actividad-plaquetaria-en-pacientes-con-sindrome-coronario-agudo
#19
RANDOMIZED CONTROLLED TRIAL
David Vivas, Juan C García-Rubira, Esther Bernardo, Dominick J Angiolillo, Patricia Martín, Alfonso Calle-Pascual, Iván Núñez-Gil, Carlos Macaya, Antonio Fernández-Ortiz
OBJECTIVES: Hyperglycaemia has been associated with increased platelet reactivity and impaired prognosis in patients with acute coronary syndrome (ACS). Whether platelet reactivity can be reduced by lowering glucose in this setting is unknown. The aim of this study was to assess the functional impact of intensive glucose control with insulin on platelet reactivity in patients admitted with ACS and hyperglycaemia. METHODS: This is a prospective, randomised trial evaluating the effects of either intensive glucose control (target glucose 80-120 mg/dl) or conventional control (target glucose 180 mg/dl or less) with insulin on platelet reactivity in patients with ACS and hyperglycaemia...
May 2011: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/20301992/portuguese-registry-of-acute-coronary-syndromes-seven-years-of-activity
#20
MULTICENTER STUDY
José Ferreira Santos, Carlos Aguiar, Cristina Gavina, Pedro Azevedo, João Morais
BACKGROUND: The Portuguese Registry of Acute Coronary Syndromes was established in 2002, with the goal of gathering data on the clinical characteristics, treatment and prognosis of Portuguese patients with acute coronary syndromes (ACS). OBJECTIVE: To report the information collected during the seven years of activity of the Portuguese Registry of ACS (from January 1, 2002 to December 31, 2008). METHODS: The Portuguese Registry of ACS is an observational, prospective and continuous registry, which started on January 1, 2002 and involved 45 Portuguese hospitals...
December 2009: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
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