keyword
https://read.qxmd.com/read/38489953/external-validation-and-comparison-of-mbe-edema-and-modified-edema-scores-for-predicting-malignant-cerebral-edema-in-chinese-patients-with-large-hemispheric-infarction-patients-without-revascularization
#1
JOURNAL ARTICLE
Anqi Tang, Xiaoming Ma, Yi Ren, Hao Zhang, Wei Xie, Meng Liu, Shiying Sheng, Keshi Mao
BACKGROUND: Malignant cerebral edema (MCE) is a severe condition characterized by rapid neurological deterioration and a potentially poor prognosis. Scoring systems including the malignant brain edema (MBE) score, Enhanced Detection of Edema in Malignant Anterior Circulation Stroke score (EDEMA), and modified EDEMA score, have been developed to predict MCE in patients with large hemispheric infarction (LHI). We aimed to externally validate and comparethe predictive efficacy of these scores in LHI patients within 48 h of onset and not undergoing reperfusion therapy...
March 13, 2024: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/38402925/prolonged-dual-antiplatelet-therapy-in-acute-myocardial-infarction-patients-without-revascularization-china-acute-myocardial-infarction-cami-registry-study
#2
JOURNAL ARTICLE
Cunrong Huang, Jingang Yang, Ling Li, Shenghu He, Xuxia Zhang, Haiyan Xu, Yuan Wu, Jun Zhang, Shubin Qiao, Yongjian Wu, Yanyan Zhao, Yang Wang, Wei Li, Chen Jin, Xiaojin Gao, Yuejin Yang
At least 12-month dual antiplatelet therapy (DAPT) is one of the standards of care following Percutaneous Coronary Intervention (PCI) in patients with acute coronary syndrome. However, study on prolonged DAPT for acute myocardial infarction (AMI) patients without revascularization is limited. We studied 1744 AMI patients without revascularization from the China Acute Myocardial Infarction registry between January 2013 and September 2014. These patients were on DAPT and did not experience AMI, stroke, or bleeding events at 12-month follow-up...
February 23, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38246785/coronary-computed-tomography-angiography-derived-fractional-flow-reserve-and-risk-of-recurrent-angina-a-3-year-follow-up-study
#3
JOURNAL ARTICLE
Kristian Tækker Madsen, Bjarne Linde Nørgaard, Kristian Altern Øvrehus, Jesper Møller Jensen, Erik Parner, Erik Lerkevang Grove, Martin B Mortensen, Timothy A Fairbairn, Koen Nieman, Manesh R Patel, Campbell Rogers, Sarah Mullen, Hans Mickley, Kristian Korsgaard Thomsen, Hans Erik Bøtker, Jonathon Leipsic, Niels Peter Rønnow Sand
BACKGROUND: The association between coronary computed tomography angiography (CTA) derived fractional flow reserve (FFRCT ) and risk of recurrent angina in patients with new onset stable angina pectoris (SAP) and stenosis by CTA is uncertain. METHODS: Multicenter 3-year follow-up study of patients presenting with symptoms suggestive of new onset SAP who underwent first-line CTA evaluation and subsequent standard-of-care treatment. All patients had at least one ≥30 ​% coronary stenosis...
January 20, 2024: Journal of Cardiovascular Computed Tomography
https://read.qxmd.com/read/38202255/exploring-the-relationship-between-epicardial-fat-thickness-and-coronary-revascularization-implications-for-cardiovascular-health
#4
JOURNAL ARTICLE
Antonino Davide Romano, Antonella La Marca, Rosanna Villani, Moris Sangineto, Vincenzo Manuppelli, Natale Daniele Brunetti, Gianluigi Vendemiale, Gaetano Serviddio
BACKGROUND: this study aimed to assess the complex relationship between EAT thickness, as measured with echocardiography, and the severity of coronary artery disease (CAD). We investigated whether individuals with higher EAT thickness underwent coronary revascularization. Subsequently, we conducted a three-year follow-up to explore any potential modifications in EAT depots post-angioplasty. METHODS: we conducted a prospective and retrospective cross-sectional observational study involving 150 patients consecutively referred for acute coronary syndrome, including ST-elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), and unstable angina...
December 31, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38195045/long-term-outcomes-in-patients-with-chronic-total-occlusion
#5
JOURNAL ARTICLE
Daniel A Gold, Pratik B Sandesara, Vardhmaan Jain, Matthew E Gold, Nishant Vatsa, Shivang R Desai, Malika Elhage Hassan, Chenyang Yuan, Yi-An Ko, Kiran Ejaz, Zain Alvi, Wissam A Jaber, William J Nicholson, Arshed A Quyyumi
BACKGROUND: Although a chronic total occlusion (CTO) in the setting of an acute coronary syndrome is associated with higher risk, the prognosis of patients with stable CAD and CTOs remains unknown. OBJECTIVES: To investigate adverse event rates in patients with stable CAD with and without a CTO. METHODS: In 3597 patients with stable CAD (>50% coronary luminal stenosis) undergoing cardiac catheterization, all-cause mortality, cardiovascular mortality and the composite major adverse cardiac event (MACE) rates for cardiovascular death, myocardial infarction and heart failure hospitalization were evaluated...
January 7, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38076575/healing-rate-comparison-of-revascularized-and-non-revascularized-diabetic-foot-ulcers-with-peripheral-arterial-disease
#6
JOURNAL ARTICLE
Hendri, Raden Suhartono, Aria Kekalih, Januar Rizky Adriani, Muhammad Faruk
BACKGROUND: Revascularization is important for the healing of diabetic foot ulcers with peripheral arterial disease because it aids in the restoration of the perfusion function of the leg tissues and can reduce the risk of cardiovascular complications. However, no Indonesian studies have been identified that exclusively discuss the effectiveness of revascularization for patients with this condition. This study aimed to compare the healing rates of diabetic foot ulcers with peripheral arterial disease in patients who received or did not receive revascularization...
December 2023: Surgery open science
https://read.qxmd.com/read/37854973/impact-of-previous-coronary-artery-revascularization-on-outcomes-in-patients-undergoing-transcatheter-aortic-valve-implantation
#7
JOURNAL ARTICLE
Radosław Wilimski, Zenon Huczek, Kamil Krauz, Bartosz Rymuza, Maciej Mazurek, Piotr Scisło, Karol Zbroński, Kajetan Grodecki, Janusz Kochman, Mariusz Kuśmierczyk
INTRODUCTION: Coexistence of coronary artery disease (CAD) in patients with severe aortic stenosis (AS) referred for transcatheter aortic valve implantation (TAVI) raises questions regarding the safety and efficacy of TAVI in this subset of patients. AIM: To evaluate the impact of previous coronary revascularization in terms of percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) on clinical outcomes after TAVI. MATERIAL AND METHODS: A total of 507 consecutive patients who underwent TAVI were divided into: non-revascularization (NR), post-PCI and post-CABG groups...
September 2023: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
https://read.qxmd.com/read/37808884/non-revascularized-chronic-total-occlusions-impact-on-substrate-and-post-ablation-results-in-drug-refractory-electrical-storm
#8
JOURNAL ARTICLE
Cosmin Cojocaru, Alexandrina Nastasa, Stefan Bogdan, Corneliu Iorgulescu, Alexandru Deaconu, Sebastian Onciul, Radu Vatasescu
BACKGROUND AND AIMS: There is limited data concerning the effect of non-revascularized chronic total occlusions (NR-CTOs) after VT ablation. This study sought to evaluate the impact of NR-CTOs after ablation for electrical storm (ES). METHODS: Post-hoc retrospective analysis of data regarding 64 consecutive post-myocardial infarction patients (out of which 12 patients with NR-CTOs and 52 without NR-CTOs) undergoing substrate ablation for ES with an available median follow-up of 37...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37612051/association-between-obstructive-sleep-apnea-and-cardiovascular-events-in-acute-coronary-syndrome-patients-with-or-without-revascularization%C3%A3-a-prospective-cohort-study
#9
JOURNAL ARTICLE
Ying Zhang, Wen Hao, Jingyao Fan, Ruifeng Guo, Hui Ai, Bin Que, Xiao Wang, Jianzeng Dong, Shaoping Nie
BACKGROUND: The effects of obstructive sleep apnea (OSA) on the prognosis of acute coronary syndrome (ACS) without revascularization remain unclear, so the aim of the present study was to elucidate the association of OSA with subsequent cardiovascular events in ACS patients with and without revascularization.Methods and Results: We prospectively recruited hospitalized ACS patients undergoing sleep monitoring between June 2015 and January 2020. OSA was defined as an apnea-hypopnea index ≥15 events/h...
August 23, 2023: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/37341225/prognostic-assessment-of-fractional-flow-reserve-in-different-strata-in-patients-with-coronary-artery-disease
#10
JOURNAL ARTICLE
Denise Pellegrini, Paulo R A Caramori, Ricardo Czarnobai Soccol, Ricardo Lasevitch, Gustavo Luís Agostini, Alice Dussin, Flavio Vinicius Costa Ferreira, Mario Bernardes Wagner, Luiz Carlos Bodanese
BACKGROUND: There are limited real-world data on the clinical course of untreated coronary lesions according to their functional severity. OBJECTIVE: To evaluate the 5-year clinical outcomes of patients with revascularized lesions with fractional flow reserve (FFR) ≤ 0.8 and patients with non-revascularized lesions with FFR > 0.8. METHODS: The FFR assessment was performed in 218 patients followed for up to 5 years. Participants were classified based on FFR into ischemia group (≤ 0...
May 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/36824456/additional-improvement-in-regional-myocardial-ischemia-after-intracardiac-injection-of-bone-marrow-cells-during-cabg-surgery
#11
JOURNAL ARTICLE
Luís Henrique Wolff Gowdak, Isolmar Tadeu Schettert, Carlos Eduardo Rochitte, Leonardo P de Carvalho, Marcelo Luiz Campos Vieira, Luís Alberto Oliveira Dallan, Sérgio Almeida de Oliveira, Luiz Antonio Machado César, José Oscar Reis Brito, Luiz César Guarita-Souza, Antonio Carlos Campos de Carvalho, Jose Eduardo Krieger
BACKGROUND: Post-procedure residual ischemia is associated with worse prognosis in patients with coronary artery diasease (CAD). OBJECTIVE: We evaluated whether autologous bone marrow-derived cells (BMC) contribute to additional reduction in regional stress-induced myocardial ischemia (SIMI) in patients undergoing incomplete coronary artery bypass graft surgery (CABG). METHODS: In a double-blind, randomized, placebo-controlled trial, we enrolled 143 patients (82% men, 58 ± 11 years) with stable CAD and not candidates for complete CABG...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36822461/in-hospital-cardiac-arrest-complicating-st-elevation-myocardial-infarction-temporal-trends-and-outcomes-based-on-management-strategy
#12
JOURNAL ARTICLE
Anusha G Bhat, Dhiran Verghese, Sri Harsha Patlolla, Alexander G Truesdell, Wayne B Batchelor, Timothy D Henry, Robert J Cubeddu, Matthew Budoff, Quang Bui, Peter Matthew Belford, David X Zhao, Saraschandra Vallabhajosyula
BACKGROUND: There are limited data on the relationship of ST-segment-elevation myocardial infarction (STEMI) management strategy and in-hospital cardiac arrest (IHCA). AIMS: To investigate the trends and outcomes of IHCA in STEMI by management strategy. METHODS: Adult with STEMI complicated by IHCA from the National Inpatient Sample (2000-2017) were stratified into early percutaneous coronary intervention (PCI) (day 0 of hospitalization), delayed PCI (PCI ≥ day 1), or medical management (no PCI)...
February 21, 2023: Resuscitation
https://read.qxmd.com/read/36068573/long-term-cardiovascular-prognosis-of-patients-with-type-1-diabetes-after-myocardial-infarction
#13
JOURNAL ARTICLE
Anne M Kerola, Anne Grete Semb, Markus Juonala, Antti Palomäki, Päivi Rautava, Ville Kytö
BACKGROUND: To explore long-term cardiovascular prognosis after myocardial infarction (MI) among patients with type 1 diabetes. METHODS: Patients with type 1 diabetes surviving 90 days after MI (n = 1508; 60% male, mean age = 62.1 years) or without any type of diabetes (n = 62,785) in Finland during 2005-2018 were retrospectively studied using multiple national registries. The primary outcome of interest was a combined major adverse cardiovascular event (MACE; cardiovascular death, recurrent MI, ischemic stroke, or heart failure hospitalization) studied with a competing risk Fine-Gray analyses...
September 6, 2022: Cardiovascular Diabetology
https://read.qxmd.com/read/35810955/analysis-of-wound-healing-time-and-wound-free-period-in-patients-with-chronic-limb-threatening-ischemia-treated-with-and-without-revascularization
#14
JOURNAL ARTICLE
Sydney E Browder, Smith M Ngeve, Melissa E Hamrick, Jacob E Wood, Federico E Parodi, Luigi E Pascarella, Mark A Farber, William A Marston, Katharine L McGinigle
INTRODUCTION: Traditionally reported outcomes in patients with ischemic wounds have centered around amputation free survival; however, that discounts the importance of other patient-centered outcomes like wound healing time (WHT) and wound free period (WFP). We sought to evaluate the long term wound outcomes of the patients treated for chronic limb threatening ischemia (CLTI) at our institution. METHODS: From 2014-2017, we identified all patients with CLTI and ischemic wounds by symptomatic and hemodynamic criteria...
July 7, 2022: Journal of Vascular Surgery
https://read.qxmd.com/read/35582471/uncommon-post-infarction-pseudoaneurysms-a-case-report
#15
Hamid Jallal, Soufiane Belabes, Ali Khatouri
BACKGROUND: Mechanical complications are a rare presentation in chronic coronary syndromes, which have significantly decreased in the primary coronary intervention era. Incomplete rupture may occur, resulting in pseudoaneurysms (PANs). Early reperfusion decreases the risk of this complication. Echocardiography is the method of choice for diagnosis. CASE SUMMARY: A 54-year-old female hypertensive patient, with a history of non-revascularized inferior and anterior ST-segment elevation myocardial infarction (MI) 4 years prior, was admitted to the cardiac unit of the hospital with complaints of abdominal pain and dyspnea lasting 2 mo...
April 26, 2022: World Journal of Cardiology
https://read.qxmd.com/read/35500731/spontaneous-coronary-artery-dissection-scad-complicated-with-post-infarction-ventricular-septal-rupture-and-a-comparative-review-on-mechanical-complications-related-with-scad
#16
REVIEW
Taha Ahmed, Olivia Honaker, Naoki Misumida, Adrian W Messerli
Spontaneous coronary artery dissection (SCAD) is not uncommon but remains arguably an under-diagnosed etiology for acute coronary syndrome (ACS). It occurs predominantly in young-to-middle aged women who have no or few traditional atherosclerotic cardiovascular disease risk factors. Post-infarction mechanical complications are a dreaded outcome of ACS. However, very few case reports describe these mechanical complications related to SCAD. Unsuccessful revascularization is a particular concern for patients presenting with SCAD-induced ACS, which can increase the risk for certain mechanical complications...
April 29, 2022: Current Problems in Cardiology
https://read.qxmd.com/read/35115159/cholesterol-uptake-capacity-a-new-measure-of-high-density-lipoprotein-functionality-as-a-predictor-of-subsequent-revascularization-in-patients-undergoing-percutaneous-coronary-intervention
#17
JOURNAL ARTICLE
Daichi Fujimoto, Hiromasa Otake, Hiroyuki Kawamori, Takayoshi Toba, Manabu Nagao, Shinsuke Nakano, Kosuke Tanimura, Yu Takahashi, Yusuke Fukuyama, Shunsuke Kakizaki, Koichi Nakamura, Amane Harada, Katsuhiro Murakami, Takuya Iino, Ryuji Toh, Ken-Ichi Hirata
BACKGROUND AND AIMS: High-density lipoprotein (HDL) functionality is an important determinant of coronary artery disease (CAD) development. We recently developed cholesterol-uptake capacity (CUC), a rapid cell-free assay system that directly evaluates the capacity of HDL to accept additional cholesterol. We aimed to evaluate the association between CUC and revascularization in patients who have undergone percutaneous coronary intervention (PCI). METHODS: We retrospectively reviewed patients who underwent PCI with subsequent revascularization or coronary angiography (CAG) without revascularization...
March 2022: Atherosclerosis
https://read.qxmd.com/read/35055336/long-term-clinical-outcomes-of-fractional-flow-reserve-guided-coronary-artery-revascularization-in-chronic-kidney-disease
#18
JOURNAL ARTICLE
Chien-Boon Jong, Tsui-Shan Lu, Patrick Yan-Tyng Liu, Jeng-Wei Chen, Ching-Chang Huang, Hsien-Li Kao
Fractional flow reserve (FFR)-guided percutaneous coronary intervention has shown favorable long-term clinical outcomes. However, limited data exist evaluating the FFR assessment among the chronic kidney disease (CKD) population. The aim of this study was to evaluate the long-term clinical outcomes of FFR-guided coronary revascularization in patients with CKD. A total of 242 CKD patients who underwent FFR assessment were retrospectively analyzed. Patients were divided into two groups: revascularization (FFR ≤ 0...
January 1, 2022: Journal of Personalized Medicine
https://read.qxmd.com/read/34913364/association-of-frailty-with-treatment-selection-and-long-term-outcomes-among-patients-with-chronic-limb-threatening-ischemia
#19
JOURNAL ARTICLE
Neel M Butala, Aishwarya Raja, Jiaman Xu, Jordan B Strom, Marc Schermerhorn, Joshua A Beckman, Mehdi H Shishehbor, Changyu Shen, Robert W Yeh, Eric A Secemsky
Background The optimal treatment strategy for patients with chronic limb-threatening ischemia (CLTI) is often unclear. Frailty has emerged as an important factor that can identify patients at greater risk of poor outcomes and guide treatment selection, but few studies have explored its utility among the CLTI population. We examine the association of a health record-based frailty measure with treatment choice and long-term outcomes among patients hospitalized with CLTI. Methods and Results We included patients aged >65 years hospitalized with CLTI in the Medicare Provider Analysis and Review data set between October 1, 2009 and September 30, 2015...
December 21, 2021: Journal of the American Heart Association
https://read.qxmd.com/read/34845752/reversible-takotsubo-cardiomyopathy-with-non-revascularized-concomitant-severe-coronary-artery-disease
#20
Yumiko V Taguchi, Tasneem Z Naqvi
Takotsubo cardiomyopathy is a transient cardiac condition commonly triggered by a stressor, presenting with clinical features mimicking acute coronary syndromes. We report an unusual case of Takotsubo cardiomyopathy in a man with severe three-vessel coronary artery disease awaiting coronary bypass surgery who developed rapid spontaneous recovery of cardiac function before revascularization.
December 2021: Echocardiography
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