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Ramón Rodríguez-Olivares, José López-Menéndez, Laura Varela Barca, Javier Miguelena Hycka, Rosana Hernández-Antolín, Jorge Rodríguez-Roda Stuart, Jose L Zamorano Gómez
BACKGROUND: The optimal management of patients with multivessel coronary artery disease (MVD) admitted with STEMI is under debate. CABG is rarely performed, even on ideal candidates. A provisional PCI without stent implantation may allow complete surgical revascularization (CSR) in a subset of patient that we sought to identify in this study. METHODS: Patients with STEMI from April 2014 to October 2016 were evaluated and those with a TIMI flow <3 in the culprit vessel, and an additional stenosis of >70% in an epicardial vessel or sidebranch >2...
June 13, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
N V Yaméogo, C Guenancia, G Porot, K Stamboul, C Richard, A Gudjoncik, J Hamblin, P Buffet, L Lorgis, Y Cottin
BACKGROUND: Distal embolization during primary percutaneous coronary intervention (p-PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) is associated with a poor prognosis. In this situation, thrombectomy is performed to prevent distal embolization and to restore myocardial reperfusion. The aim of our study was to determine angiographic predictors of angiographically visible distal embolization (AVDE) in patients with STEMI treated by p‑PCI with thrombectomy...
June 20, 2018: Herz
Fereshteh Ghaderi, Hossein Samim, Faeze Keihanian, Seyed Ali Danesh Sani
BACKGROUND: It is well recognized that cardio- vascular risk factors lead to histological and functional changes in aorta, and aortic stiffness is the best predictor of cardiovascular morbidity and mortality. In this study we evaluated the relation of a less evaluated echocardiographic parameter of aortic stiffness, aortic propagation velocity (APV) with the presence and severity of CAD. METHODS: This cross sectional study was conducted from May 2015 to March 2016 in Imam Reza hospital, Mashhad, Iran...
June 19, 2018: BMC Cardiovascular Disorders
Marouane Boukhris, Farouk Abcha, Salvatore D Tomasello, Simona Giubilato, Salvatore Azzarelli, Alfred R Galassi
No abstract text is available yet for this article.
April 2018: Journal of the Saudi Heart Association
Levent Cerit
No abstract text is available yet for this article.
April 2018: Journal of the Saudi Heart Association
Sorin J Brener, Venkatesh Alapati, Doris Chan, Akanibo Da-Wariboko, Yousef Kaid, Yevgeniy Latyshev, Amr Moussa, Chockalingham A Narayanan, John P O'Laughlin, Amol Raizada, Gautam Verma, Terrence J Sacchi
BACKGROUND: Short-term outcome after percutaneous coronary intervention (PCI) has improved dramatically, but the association between clinical or angiographic characteristics and long-term outcome remains less well described. The SYNTAX (Synergy Between PCI With TAXUS and Cardiac Surgery) II score has been designed to overcome the limitations of the purely angiographic SYNTAX I score by including clinical parameters and comorbidities. It has not been tested extensively in "real-world" PCI patients, outside of randomized clinical studies...
June 15, 2018: Journal of Invasive Cardiology
Ying Song, Zhan Gao, Xiao-Fang Tang, Ping Jiang, Jing-Jing Xu, Yi Yao, Jian-Xin Li, Xue-Yan Zhao, Shu-Bin Qiao, Yue-Jin Yang, Run-Lin Gao, Bo Xu, Jin-Qing Yuan
Background: Residual SYNTAX score (rSS) and its derived indexes including SYNTAX revascularization index (SRI) and clinical rSS had been developed to quantify and describe the extent of incomplete revascularization. This study was conducted to explore the utility of the three scores among real-world patients after percutaneous coronary intervention (PCI). Methods: From January 2013 to December 2013, patients underwent PCI treatment at Fuwai Hospital were included...
June 20, 2018: Chinese Medical Journal
Kwi Hyun Bae, Sung Woo Kim, Yeon Kyung Choi, Jung Beom Seo, Namkyun Kim, Chang Yeon Kim, Won Kee Lee, Sungwoo Lee, Jung Guk Kim, In Kyu Lee, Jang Hoon Lee, Keun Gyu Park
BACKGROUND: Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a circulating protein that promotes degradation of the low density lipoprotein receptor. PCSK9 has emerged as a target for lipid-lowering therapy, but the predictive value of the serum level of PCSK9 for the severity of coronary disease is largely unknown. METHODS: From December 2009 to July 2012, 121 individuals who underwent coronary angiography (CAG) because of clinically suspected acute coronary syndrome were enrolled in this study...
May 2, 2018: Diabetes & Metabolism Journal
Guy Witberg, Oren Zusman, Pablo Codner, Abid Assali, Ran Kornowski
BACKGROUND: Coronary artery disease (CAD) is highly prevalent in patients undergoing transcatheter aortic valve replacement. In the overall CAD population, complete revascularization or reasonable incomplete revascularization (ICR) is associated with improved outcomes; whether the same applies for the transcatheter aortic valve replacement population is still a matter of debate. METHODS AND RESULTS: We conducted a systematic review and meta-analysis of studies that examined the prognostic effect of revascularization completeness in patients undergoing transcatheter aortic valve replacement using the residual SYNTAX score (Synergy Between PCI With Taxus and Cardiac Surgery) to separate between reasonable ICR and ICR (using the individual threshold used by each study)...
March 2018: Circulation. Cardiovascular Interventions
Maciej T Wybraniec, Jerzy Chudek, Katarzyna Mizia-Stec
INTRODUCTION Contrast‑induced nephropathy is associated with worse prognosis in patients with coronary artery disease (CAD); however, the prognostic role of urinary biomarkers of renal injury has not been fully established. OBJECTIVES We evaluated the clinical utility of urinary biomarkers for the prediction of major adverse cardiac and cerebrovascular events (MACCEs) in patients undergoing coronary angiography. PATIENTS AND METHODS This prospective study included 95 consecutive patients with stable and unstable CAD (men, 69...
May 30, 2018: Polish Archives of Internal Medicine
Naoki Misumida, Ahmed Elsharawy Ahmed, Mariah Barlow, Rachel Goodwin, Elliot Goodwin, Ameer Musa, Mohammad Mathbout, Gbolahan Ogunbayo, Sun Moon Kim, Ahmed Abdel-Latif, Khaled M Ziada
Anatomical SYNTAX score (SS1) and SYNTAX score II (SS2) are often utilized to determine the optimal revascularization strategy. Although US veterans have unique characteristics that may affect outcomes after revascularization, the prognostic values of SS1 and SS2 in veterans have not yet been validated. We performed a retrospective analysis of consecutive veteran patients who underwent percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) for left main and/or 3-vessel disease from 2009 to 2014...
April 12, 2018: American Journal of Cardiology
Carlos Collet, Yosuke Miyazaki, Nicola Ryan, Taku Asano, Erhan Tenekecioglu, Jeroen Sonck, Daniele Andreini, Manel Sabate, Salvatore Brugaletta, Rodney H Stables, Antonio Bartorelli, Robbert J de Winter, Yuki Katagiri, Ply Chichareon, Giovanni Luigi De Maria, Pannipa Suwannasom, Rafael Cavalcante, Hans Jonker, Marie-Angèle Morel, Bernard Cosyns, Arie P Kappetein, David T Taggart, Vasim Farooq, Javier Escaned, Adrian Banning, Yoshinobu Onuma, Patrick W Serruys
BACKGROUND: The functional SYNTAX score (FSS) has been shown to improve the discrimination for major adverse cardiac events compared with the anatomic SYNTAX score (SS) while reducing interobserver variability. However, evidence supporting the noninvasive FSS in patients with multivessel coronary artery disease (CAD) is scarce. OBJECTIVES: The purpose of this study was to assess the feasibility of and validate the noninvasive FSS derived from coronary computed tomography angiography (CTA) with fractional flow reserve (FFRCT ) in patients with 3-vessel CAD...
April 17, 2018: Journal of the American College of Cardiology
Jennifer P Lundine, Stacy M Harnish, Rebecca J McCauley, Deena Schwen Blackett, Alexandra Zezinka, Wei Chen, Robert A Fox
Purpose: Summarizing expository passages is a critical academic skill that is understudied in language research. The purpose of this study was to compare the quality of verbal summaries produced by adolescents for 3 different discourse types and to determine whether a composite measure of cognitive skill or a test of expressive syntax predicted their performance. Method: Fifty adolescents listened to, and then verbally summarized, 1 narrative and 2 expository lectures (compare-contrast and cause-effect)...
May 3, 2018: Language, Speech, and Hearing Services in Schools
Marilu Isiordia, Emilio Ferrer
A first-order latent growth model assesses change in an unobserved construct from a single score and is commonly used across different domains of educational research. However, examining change using a set of multiple response scores (e.g., scale items) affords researchers several methodological benefits not possible when using a single score. A curve of factors (CUFFS) model assesses change in a construct from multiple response scores but its use in the social sciences has been limited. In this article, we advocate the CUFFS for analyzing a construct's latent trajectory over time, with an emphasis on applying this model to educational research...
April 2018: Educational and Psychological Measurement
Tanveer Rab, Spencer B King
Percutaneous coronary intervention of the left main coronary artery has evolved through registries and meta analyses, supported by results from the Everolimus-Eluting Stents(EES) or Bypass Surgery for Left Main Coronary Artery Disease (EXCEL) and Percutaneous Coronary Angioplasty versus Coronary Artery Bypass Grafting in Treatment of Unprotected Left Main Stenosis (NOBLE) trials as an acceptable alternative to coronary artery bypass grafting in patients with low and intermediate Syntax scores. Advances in stenting strategies and the availability of larger diameter drug-eluting stents improves patient safety and optimizes procedural and patient outcomes...
May 23, 2018: Cardiology in Review
Julia Braverman, Rita Dunn, Andrey Vyshedskiy
Mental synthesis is the conscious purposeful process of synthesizing novel mental images from objects stored in memory. Mental synthesis ability is essential for understanding complex syntax, spatial prepositions, and verb tenses. In typical children, the timeline of mental synthesis acquisition is highly correlated with an increasing vocabulary. Children with Autism Spectrum Disorder (ASD), on the other hand, may learn hundreds of words but never acquire mental synthesis. In these individuals, tests assessing vocabulary comprehension may fail to demonstrate the profound deficit in mental synthesis...
May 20, 2018: Children
J Wang, C D Guan, J S Yuan, R L Gao, B Xu, S B Qiao
Objective: To investigate the prognostic value of SYNTAX score on 1 year outcome in coronary heart disease patients underwent percutaneous coronary intervention(PCI). Methods: The present study (PANDA Ⅲ trial) was a perspective, multi-center, randomized controlled trial. Between December 2013 and August 2014, 2 348 patients who underwent PCI from 46 centers were enrolled. SYNTAX score was calculated from all patients. Patients were divided into 3 groups based on SYNTAX score: lower risk group (SYNTAX score≤22, 1 777 patients), intermediate risk group (SYNTAX score 23-32, 412 patients), and higher risk group (SYNTAX score≥33, 159 patients)...
April 24, 2018: Zhonghua Xin Xue Guan Bing za Zhi
Krzysztof L Bryniarski, Tomasz Tokarek, Tomasz Bryk, Joanna Rutka, Iwona Gawlik, Anna Żabówka, Grzegorz Dębski, Beata Bobrowska, Krzysztof Żmudka, Artur Dziewierz, Zbigniew Siudak, Dariusz Dudek
Introduction: The extent of peripheral artery disease (PAD) measured by the ankle-brachial index (ABI) and intima-media thickness (IMT) is correlated with the complexity of coronary artery disease (CAD) in stable angina patients. However, data regarding patients with acute coronary syndromes are still lacking. Aim: To compare coronary complexity measured by the SYNTAX score in patients with and without PAD presenting with myocardial infarction (MI). Material and methods: Both ABI and IMT were measured in 101 consecutive patients who underwent primary diagnostic due to MI...
2018: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
Piotr Kübler, Wojciech Zimoch, Michał Kosowski, Brunon Tomasiewicz, Oscar Rakotoarison, Artur Telichowski, Krzysztof Reczuch
Introduction: Most established risk factors after rotational atherectomy (RA) of heavily fibro-calcified lesions are associated with patients' general risk and clinical related factors and are not specific for either coronary and culprit lesion anatomy or the RA procedure. Aim: To assess novel predictors of poor outcome after percutaneous coronary intervention using RA in an all-comers population. Material and methods: A total of 207 consecutive patients after RA were included in a single-center observational study...
2018: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
Cengiz Sabanoglu, Mehmet Kadri Akboga, Sercan Okutucu
No abstract text is available yet for this article.
January 1, 2018: Angiology
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