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https://www.readbyqxmd.com/read/26387028/efficacy-and-safety-of-loading-dose-rosuvastatin-therapy-in-elderly-patients-with-acute-coronary-syndromes-undergoing-elective-percutaneous-coronary-intervention
#1
Yungen Jiao, Feng Hu, Zhengang Zhang, Kaizheng Gong, Xiaoning Sun, Aihua Li, Naifeng Liu
OBJECTIVES: The aim of this work was to investigate the efficacy and safety of loading-dose rosuvastatin therapy in elderly patients with non-ST-segment elevation acute coronary syndromes (NSTEACS) undergoing elective percutaneous coronary intervention (PCI). METHODS: A total of 126 patients (≥70 years old) with NSTEACS were randomly divided into two groups: (1) loading-dose rosuvastatin-treated group, treated with rosuvastatin 20 mg 12 h prior to PCI, with a second dose administered just before PCI (n = 62), and (2) control-treated group, treated with the standard method according to ACC/AHA guidelines in UAP/NSTEMI 2007 (n = 64)...
December 2015: Clinical Drug Investigation
https://www.readbyqxmd.com/read/24867012/durability-of-class-i-american-college-of-cardiology-american-heart-association-clinical-practice-guideline-recommendations
#2
Mark D Neuman, Jennifer N Goldstein, Michael A Cirullo, J Sanford Schwartz
IMPORTANCE: Little is known regarding the durability of clinical practice guideline recommendations over time. OBJECTIVE: To characterize variations in the durability of class I ("procedure/treatment should be performed/administered") American College of Cardiology/American Heart Association (ACC/AHA) guideline recommendations. DESIGN, SETTING, AND PARTICIPANTS: Textual analysis by 4 independent reviewers of 11 guidelines published between 1998 and 2007 and revised between 2006 and 2013...
May 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/24586562/the-ideal-cardiovascular-health-metrics-associated-inversely-with-mortality-from-all-causes-and-from-cardiovascular-diseases-among-adults-in-a-northern-chinese-industrial-city
#3
Yan Liu, Hong-jie Chi, Liu-fu Cui, Xin-chun Yang, Yun-tao Wu, Zhe Huang, Hai-yan Zhao, Jing-sheng Gao, Shou-ling Wu, Jun Cai
BACKGROUND AND AIMS: The American Heart Association has recently established seven ideal cardiovascular health metrics for cardiovascular health promotion and disease reduction (i.e., non-smoking, normal body mass index, physically active, healthy diet, and normal levels of cholesterol, blood pressure and fasting blood glucose). The present study seeks to evaluate how well these metrics predict mortality from all causes and cardiovascular diseases in adult Chinese living in a northern industrial city...
2014: PloS One
https://www.readbyqxmd.com/read/24412670/cardiovascular-screening-practices-in-collegiate-student-athletes
#4
MULTICENTER STUDY
Megan L Charboneau, Tara Mencias, Anne Z Hoch
OBJECTIVE: To evaluate screening practices and preparticipation evaluation (PPE) forms used to identify, or raise suspicion of, cardiovascular abnormalities in collegiate student-athletes. DESIGN: Phone and e-mail survey. SETTING: National Collegiate Athletic Association (NCAA) Division I universities. PARTICIPANTS: All 347 NCAA Division I universities were invited to participate in 2010-2011; 257 universities (74%) elected to participate...
July 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/24062932/guidelines-based-treatment-of-anaemic-stemi-patients-practice-patterns-and-effects-on-in-hospital-mortality-a-retrospective-analysis-from-the-ncdr
#5
Robert F Riley, L Kristin Newby, Creighton W Don, Karen P Alexander, Eric D Peterson, S Andrew Peng, Sanjay K Gandhi, Michael A Kutcher, Ezra A Amsterdam, David M Herrington
BACKGROUND: Anaemia is associated with an increased risk for morbidity and mortality in ST-elevation myocardial infarction (STEMI) patients. While several physiological mechanisms have been proposed to explain this association, decreased receipt of guidelines-based care may also contribute. We examined the relationship between admission haemoglobin (Hgb) level, receipt of ACC/AHA guidelines-based treatments, and in-hospital outcomes among STEMI patients. We also evaluated whether administration of these treatments modified the association between anaemia and in-hospital mortality in this group...
March 2013: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/23733742/implications-of-changing-definitions-of-myocardial-infarction-on-number-of-events-and-all-cause-mortality-the-who-1979-esc-acc-2000-aha-2003-and-universal-2007-definitions-revisited
#6
Jørund Langørgen, Marta Ebbing, Jannicke Igland, Stein Emil Vollset, Jan Erik Nordrehaug, Grethe S Tell, Ottar Nygård
PURPOSE: To analyse the impact of four different definitions of acute myocardial infarction (AMI) on number of events and all-cause mortality after AMI. METHODS: We retrospectively examined number of AMI events and mortality according to four different definitions of AMI, among 1494 patients admitted to Haukeland University Hospital in Norway from March 2002 to February 2003. Eligible for analysis were 815 patients with a discharge diagnosis of an AMI, and 679 patients without any AMI discharge diagnosis but with elevated cardiac troponin I level during admission...
November 2014: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/23227496/-the-incidence-of-postoperative-myocardial-infarction-and-the-left-ventricular-function-in-patients-with-type-2-diabetes-mellitus-after-recanalization-of-chronic-coronary-occlusions
#7
COMPARATIVE STUDY
I V Petrenko, O A Petrenko, M A Popova, S I Mamedova, I A Urvantseva
AIM: To study the effects of intracoronary administration of the ischemic preconditioning (IP) trigger adenosine on the reduced incidence of percutaneous coronary intervention (PCI)-associated myocardial infarction (MI) and left ventricular (LV) systolic and contractile function in patients with type 2 diabetes mellitus (DM) during recanalization of chronic coronary occlusions (CCO). SUBJECTS AND METHODS: The patients were divided into 4 groups: 1) 45 patients without DM who received intracoronary placebo infusion; 2) 51 patients without DM who had 10 mg intracoronary adenosine during PCI; 3) 34 patients with type 2 DM who had intracoronary adenosine during PCI; 4) 37 with type 2 DM who received intracoronary placebo...
2012: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/23163341/cardiovascular-disease-and-non-steroidal-anti-inflammatory-drug-prescribing-in-the-midst-of-evolving-guidelines
#8
Timothy T Pham, Michael J Miller, Donald L Harrison, Ann E Lloyd, Kimberly M Crosby, Jeremy L Johnson
RATIONALE, AIMS AND OBJECTIVES: Responding to safety concerns, the American Heart Association (AHA) published guidelines for non-steroidal anti-inflammatory drug (NSAID) use in patients with pre-existing cardiovascular disease (CVD) during 2005 and revised them in 2007. In the revision, a stepped approach to pain management recommended non-selective NSAIDs over highly selective NSAIDs. This research evaluated NSAID prescribing during and after guideline dissemination. METHOD: A cross-sectional sample of 8666 adult, community-based practice visits with one NSAID prescription representing approximately 305 million visits from the National Ambulatory Medical Care Survey (NAMCS) from 2005 to 2010 was studied...
December 2013: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/22991454/impact-of-esc-accf-aha-whf-universal-definition-of-myocardial-infarction-on-mortality-at-10-years
#9
Francisco Moscoso Costa, Jorge Ferreira, Carlos Aguiar, Hélder Dores, João Figueira, Miguel Mendes
AIMS: Redefinition of myocardial infarction (MI) based on specific cardiac troponins (cTn) was universally accepted in 2007. The new definition has been widely discussed for including a large spectrum of quantitative myocardial necrosis and their clinical implications remain under debate. Our aim was to assess the impact of the universal definition of MI on mortality at 10 years. METHODS AND RESULTS: We studied 676 consecutive patients (Pts) admitted to our intensive cardiac care unit for acute coronary syndrome (ACS) between January 1999 and December 2000...
October 2012: European Heart Journal
https://www.readbyqxmd.com/read/22700471/management-of-acute-hypertensive-response-in-patients-with-intracerebral-hemorrhage
#10
Syeda L Alqadri, Adnan I Qureshi
Spontaneous intracerebral hemorrhage (ICH) is intra-parenchymal bleeding that may lead to localized hematoma formation. The hematoma can enlarge over a period of time, and directly contribute to neurological deterioration and death. Several studies have shown a relationship between acute hypertensive response and poor prognosis among patients with ICH; however, it is somewhat unclear whether hematomal expansion, is a cause or a result of elevated blood pressure (BP). Current AHA guidelines state MAP should be maintained <130 mmHg and systolic blood pressure (SBP) <180 mmHg...
August 2012: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/20358260/evaluation-of-the-value-of-rapid-d-dimer-test-in-conjunction-with-cardiac-troponin-i-test-for-early-risk-stratification-of-myocardial-infarction
#11
COMPARATIVE STUDY
Shy-Shin Chang, Si-Huei Lee, Jiunn-Yih Wu, Hsiao-Chen Ning, Te-Fa Chiu, Feng-Lin Wang, Jung Hsiang Chen, Chih-Huang Li, Chien-Chang Lee, Rai-Chi Chan
We sought to determine the diagnostic value of a D-dimer test for myocardial infarction (MI). The prospective cohort study was carried in the ED of a university hospital. All included patients were tested for D-dimer and cardiac troponin I (cTnI) on ED admission and additional cTnI 6 h later. AMI was retrospectively confirmed by employing the ESC-ACC-AHA-WHF 2007 universal definition. The discriminative value of D-dimer test was assessed by ROC curve analysis. Multivariate analysis was used to identify independent risk factors associated with D-dimer elevation other than MI...
November 2010: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/19901409/early-and-long-term-outcomes-after-surgical-and-percutaneous-myocardial-revascularization-in-patients-with-non-st-elevation-acute-coronary-syndromes-and-unprotected-left-main-disease
#12
Piotr P Buszman, Andrzej Bochenek, Magda Konkolewska, Blazej Trela, R Stefan Kiesz, Mirosław Wilczyński, Marek Cisowski, Michał Krejca, Iwona Banasiewicz-Szkróbka, Marek Krol, Marek Kondys, Szymon Wiernek, Bartłomiej Orlik, Jack L Martin, Michał Tendera, Pawel E Buszman
UNLABELLED: Surgical myocardial revascularization (CABG) in patients with unprotected left main coronary artery disease (ULMCA) is a Class I recommendation in the AHA/ACC guidelines, however it is associated with increased perioperative risk in non-ST elevation acute coronary syndromes (NSTE-ACS). The aim of this study was to compare early and late results after percutaneous coronary intervention (PCI) and CABG in this cohort of patients. METHODS: A multicenter prospective registry included 138 patients with patent but severely narrowed (> 50%) ULMCA disease and NSTE-ACS diagnosed between January 2005 and April 2007...
November 2009: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/19785376/-the-most-common-heart-valve-diseases-aortic-stenosis-and-mitral-regurgitation-a-few-comments-on-guidelines-and-recommendations-by-societies-of-cardiology
#13
R Cerbák
Recommendations of professional societies, frequently called guidelines as per the English translation, provide help to the general practice as well as specialized physicians. These are recommendations, not a legislative norm. Societies of cardiology have issued 3 new guidelines over the recent years; American ACC/AHA in 2006 and European ESC and Czech CSC in 2007. Guidelines for diagnostics and therapy are presented as Class I to III according to the suitability of the procedure and the level of evidence is classified in groups A to C...
September 2009: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/18435669/glycaemic-control-among-patients-with-type-2-diabetes-mellitus-in-seven-european-countries-findings-from-the-real-life-effectiveness-and-care-patterns-of-diabetes-management-recap-dm-study
#14
MULTICENTER STUDY
F Alvarez Guisasola, P Mavros, G Nocea, E Alemao, C M Alexander, D Yin
OBJECTIVE: This study was undertaken to assess glycaemic control as well as changes in glycaemic control over time in patients with type 2 diabetes mellitus (T2DM) who added a sulphonylurea (SU) or thiazolidinedione (TZD) to their metformin monotherapy in typical treatment settings within seven European countries. METHODS: An observational, cross-sectional multicentre study with retrospective medical chart review was conducted in Finland, France, Germany, Norway, Poland, Spain and UK...
June 2008: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/18260897/-drug-eluting-stent-thrombosis-and-its-pharmacological-prevention
#15
REVIEW
I V Pershukov, T A Batyraliev
The problem of drug eluting stents (DES) safety has been actively discussed throughout 2006 because of increase of frequency of development of late stent thromboses which were noted during almost 2 years after stenting. In December 2006 US Food and Drug Administration (FDA) advisory panel acknowledged increase of development of late stent thrombosis. At the same time FDA accepted new definition of stent-thrombosis suggested by the Academic Research Consortium. According to this definition thrombosis can be definite, probable and possible...
2007: Kardiologiia
https://www.readbyqxmd.com/read/18257610/drugs-for-cardiovascular-disease-prevention-in-women-implications-of-the-aha-guidelines-2007-update
#16
REVIEW
Nanette K Wenger
Lifestyle interventions constitute the initial strategy for the primary and secondary prevention of cardiovascular disease in women. However, pharmacotherapy is often indicated for control of major cardiovascular risk factors, and abundant clinical trial data support the morbidity and mortality benefit of a number of categories of drug therapy following a coronary event. Although women have increasingly been enrolled in clinical trials of pharmacotherapy, under representation of women in most research studies limits the gender-specific assessment of outcomes...
2008: Drugs
https://www.readbyqxmd.com/read/18254973/a-study-to-derive-a-clinical-decision-rule-for-triage-of-emergency-department-patients-with-chest-pain-design-and-methodology
#17
Erik P Hess, George A Wells, Allan Jaffe, Ian G Stiell
BACKGROUND: Chest pain is the second most common chief complaint in North American emergency departments. Data from the U.S. suggest that 2.1% of patients with acute myocardial infarction and 2.3% of patients with unstable angina are misdiagnosed, with slightly higher rates reported in a recent Canadian study (4.6% and 6.4%, respectively). Information obtained from the history, 12-lead ECG, and a single set of cardiac enzymes is unable to identify patients who are safe for early discharge with sufficient sensitivity...
2008: BMC Emergency Medicine
https://www.readbyqxmd.com/read/18235423/receipt-of-outpatient-cardiac-rehabilitation-among-heart-attack-survivors-united-states-2005
#18
(no author information available yet)
Each year, approximately 865,000 persons in the United States have a myocardial infarction (i.e., heart attack). In 2007, direct and indirect costs of heart disease were estimated at approximately $277.1 billion. Cardiac rehabilitation, an essential component of recovery care after a heart attack, focuses on cardiovascular risk reduction, promoting healthy behaviors, reducing death and disability, and promoting an active lifestyle for heart attack survivors. Current guidelines from the American Heart Association (AHA) and the American Association of Cardiovascular and Pulmonary Rehabilitation emphasize the importance of cardiac rehabilitation, which reduces morbidity and mortality, improves clinical outcomes, enhances psychological recovery, and decreases the risk for secondary cardiac events...
February 1, 2008: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/18180524/pharmacoinvasive-management-of-acute-coronary-syndrome-incorporating-the-2007-acc-aha-guidelines-the-cath-cardiac-catheterization-and-antithrombotic-therapy-in-the-hospital-clinical-consensus-panel-report-iii
#19
REVIEW
Marc Cohen, Jos E Diez, Glenn N Levine, James J Ferguson, David A Morrow, Sunil V Rao, James P Zidar
This paper provides a comprehensive up-to-date review of the medical and invasive management of patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS), and ST-elevation myocardial infarction (STEMI), as supported by recent updates to the ACC/AHA Guidelines. The authors have summarized findings from key clinical trials published in recent years that contribute to clinician's understanding of how best to optimize therapy. The goals for the management of NSTE-ACS and STEMI are rapid and accurate risk stratification, appropriate and institution-specific triage to interventional versus medical strategies and optimal pharmacologic therapy - all of which provide for a smooth and seamless transition of care between the emergency department and the cardiology service...
December 2007: Journal of Invasive Cardiology
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