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https://www.readbyqxmd.com/read/29906667/the-high-cost-of-critical-care-unit-over-utilization-for-patients-with-nste-acs
#1
Sean van Diepen, Dat T Tran, Justin A Ezekowitz, David A Zygun, Jason N Katz, Renato D Lopes, L Kristin Newby, Finlay A McAlister, Padma Kaul
BACKGROUND: There is substantial variability among hospitals in critical care unit (CCU) utilization for patients admitted with non-ST-Segment Elevation Acute Coronary Syndromes (NSTE ACS). We estimated the potential cost saving if all hospitals adopted low CCU utilization practices for patients with NSTE ACS. METHODS: National hospital claims data were used to identify all patients with a primary diagnosis of NSTE ACS initially admitted to an acute care hospital between 2007 and 2013...
May 19, 2018: American Heart Journal
https://www.readbyqxmd.com/read/29901579/electrocardiogram-criteria-of-limb-leads-predicting-right-coronary-artery-as-culprit-artery-in-inferior-wall-myocardial-infarction-a-meta-analysis
#2
Hao Liang, Lan Wu, Yingchen Li, Yidi Zeng, Zhixi Hu, Xinchun Li, Xiang Sun, Qiuyan Zhang, Xiaoqing Zhou
BACKGROUND: Prior studies have proposed several electrocardiogram (ECG) criteria in limb leads for identifying the culprit coronary artery (CCA) in patients with acute inferior wall myocardial infarction (IWMI). The aim of our study was to conduct an evidence-based evaluation and test accuracy comparison of these criteria. METHODS: We searched the PubMed, Embase, and Ovid. Eligible studies to assess the diagnostic performance of ECG criteria predicting CCA in IWMI were reviewed for inclusion...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29899463/the-cami-score-a-novel-tool-derived-from-cami-registry-to-predict-in-hospital-death-among-acute-myocardial-infarction-patients
#3
Chenxi Song, Rui Fu, Kefei Dou, Jingang Yang, Haiyan Xu, Xiaojin Gao, Wei Li, Guofeng Gao, Zhiyong Zhao, Jia Liu, Yuejin Yang
Risk stratification of patients with acute myocardial infarction (AMI) is of clinical significance. Although there are many existing risk scores, periodic update is required to reflect contemporary patient profile and management. The present study aims to develop a risk model to predict in-hospital death among contemporary AMI patients as soon as possible after admission. We included 23417 AMI patients from China Acute Myocardial Infarction (CAMI) registry from January 2013 to September 2014 and extracted relevant data...
June 13, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29896993/prolonged-veno-arterial-extracorporeal-life-support-for-cardiac-failure
#4
Sabina Pw Guenther, Yasuhiro Shudo, William Hiesinger, Dipanjan Banerjee
OBJECTIVES: In intractable cardiogenic shock, extracorporeal life support frequently is the last treatment option. Outcomes of prolonged veno-arterial extracorporeal life support for cardiac failure are poorly defined. METHODS: We retrospectively analyzed 10 patients (4 females, age = 36 ± 16 years) who underwent prolonged extracorporeal life support (≥7 days) from December 2015 to March 2017 for cardiogenic shock. The primary endpoint was survival to hospital discharge...
June 1, 2018: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/29896813/cardiovascular-benefits-of-reducing-personal-exposure-to-traffic-related-noise-and-particulate-air-pollution-a-randomized-crossover-study-in-the-beijing-subway-system
#5
Xuan Yang, Xu Jia, Wei Dong, Shaowei Wu, Mark R Miller, Dayu Hu, Hongyu Li, Lu Pan, Furong Deng, Xinbiao Guo
To assess the cardiovascular benefits of protecting against particulate air pollution and noise, we conducted a randomized crossover study with 40 young healthy college students from March to May 2017 in the underground subway, Beijing. Participants each received four treatments [no intervention phase (NIP), respirator intervention phase (RIP), headphone intervention phase (HIP), respirator plus headphone intervention phase (RHIP)] in a randomized order during four different study periods with two-week washout intervals...
June 13, 2018: Indoor Air
https://www.readbyqxmd.com/read/29895599/activated-clotting-time-to-guide-heparin-dosing-in-non-st-segment-elevation-acute-coronary-syndrome-patients-undergoing-percutaneous-coronary-intervention-and-treated-with-iib-iiia-inhibitors-impact-on-ischemic-and-bleeding-outcomes-insights-from-the-tao-trial
#6
Jean-Guillaume Dillinger, Gregory Ducrocq, Yedid Elbez, Marc Cohen, Christoph Bode, Charles Pollack, José C Nicolau, Patrick Henry, Sasko Kedev, Stephen D Wiviott, Marc S Sabatine, Shamir R Mehta, Philippe Gabriel Steg
BACKGROUND: Monitoring anticoagulation with activated clotting time (ACT) has been proposed to reduce ischemic or bleeding events. However, the value of using ACT to improve outcomes is uncertain. This study sought to determine the relationship between ACT and outcomes during percutaneous coronary intervention in patients with non-ST-segment-elevation acute coronary syndrome (NSTE-ACS) treated by unfractionated heparin with GPIs (glycoprotein IIb/IIIa inhibitors). METHODS AND RESULTS: From the randomized TAO trial (Treatment of Acute Coronary Syndromes With Otamixaban), we analyzed the value of ACT to predict ischemic and bleeding outcomes in the 3275 patients receiving unfractionated heparin plus eptifibatide...
June 2018: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29895484/coping-and-cardiac-troponin-t-a-risk-for-hypertension-and-sub-clinical-ecg-left-ventricular-hypertrophy-the-sabpa-study
#7
Catharina Elizabeth Myburgh, Leoné Malan, Annemarie Wentzel, Jacobus De Wet Scheepers, Nicolaas Theodor Malan
BACKGROUND: Defensive coping (DefS) was associated with cardiovascular disease (CVD) susceptibility in Blacks. Whether coping strategies will associate with sub-clinical left ventricular hypertrophy (electrocardiographic-left ventricular hypertrophy [ECG-LVH] or Cornell product), cardiomyocyte injury and blood pressure (BP), is unclear. Therefore, we assessed relationships between ECG-LVH, cardiac troponin T (cTnT) and 24-hour BP in bi-ethnic groups when habitually utilising a certain coping style, and these groups when having a stress-related cTnT cut-point of 4...
May 31, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29894287/comparison-of-ticagrelor-with-clopidogrel-in-reducing-interleukin-17-and-myeloperoxidase-expression-in-thrombus-and-improving-postprocedural-coronary-flow-in-st-segment-elevation-myocardial-infarction-patients
#8
WenHua Li, SongQi Guo, Shu Wang, Xin Sun, ZhuQin Li, XinYong Sun, YanMing Sun, LanFeng Wang, Wei Pan
PURPOSE: This study aimed to explore the effects of ticagrelor (a P2Y12 receptor inhibitor) on interleukin (IL)-17 and myeloperoxidase (MPO) expression in coronary thrombus as well as on the coronary blood flow in ST-segment elevation myocardial infarction (STEMI) patients following percutaneous coronary intervention (PCI). METHODS: Forty STEMI patients who were admitted to the First Affiliated Hospital of Harbin Medical University between August 1, 2014 and December 30, 2014 were enrolled in this study according to a set inclusion criteria...
2018: Journal of Pharmacy & Pharmaceutical Sciences: a Publication of the Canadian Society for Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29893358/sex-related-differences-in-short-and-long-term-outcome-among-young-and-middle-aged-patients-for-st-segment-elevation-myocardial-infarction-underwent-percutaneous-coronary-intervention
#9
Wen-Xia Fu, Tie-Nan Zhou, Xiao-Zeng Wang, Lei Zhang, Quan-Min Jing, Ya-Ling Han
Background: Females with ST-segment elevation myocardial infarction (STEMI) have higher in-hospital and short-term mortality rates compared with males in China, suggesting that a sex disparity exists. The age of onset of STEMI is ahead of time and tends to be younger. However, there are relatively little data on the significance of sex on prognosis for long-term outcomes for adult patients with STEMI after percutaneous coronary intervention (PCI) in China. This study sought to analyze the sex differences in 30-day, 1-year, and long-term net adverse clinical events (NACEs) in Chinese adult patients with STEMI after PCI...
June 20, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29893357/one-year-outcomes-in-patients-with-st-segment-elevation-myocardial-infarction-caused-by-unprotected-left-main-coronary-artery-occlusion-treated-by-primary-percutaneous-coronary-intervention
#10
Hai-Wei Liu, Ya-Ling Han, Quan-Min Jin, Xiao-Zeng Wang, Ying-Yan Ma, Geng Wang, Bin Wang, Kai Xu, Yi Li, Shao-Liang Chen
Background: Very few data have been reported for ST-segment elevation myocardial infarction (STEMI) caused by unprotected left main coronary artery (ULMCA) occlusion, and very little is known about the results of this subgroup of patients who underwent primary percutaneous coronary intervention (PCI). The aim of this study was to determine the clinical features and outcomes of patients with STEMI who underwent primary PCI for acute ULMCA occlusion. Methods: From January 2000 to February 2014, 372 patients with STEMI caused by ULMCA acute occlusion (ULMCA-STEMI) who underwent primary PCI at one of two centers were enrolled...
June 20, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29891250/effects-of-early-intracoronary-administration-of-nicorandil-during-percutaneous-coronary-intervention-in-patients-with-acute-myocardial-infarction
#11
Chunguang Feng, Yi Liu, Lulu Wang, Dongdong Niu, Bing Han
BACKGROUND: To determine whether nicorandil administration distal to the thrombus in the coronary artery during percutaneous coronary intervention (PCI) in acute ST-segment elevation myocardial infarction (STEMI) patients reduced the incidence of no-reflow phenomenon, reperfusion injury, and adverse events. METHODS: This randomised controlled trial involved 170 STEMI patients who underwent PCI. All patients underwent thrombectomy and tirofiban injection (10μg/kg) distal to the vascular lesion via a suction catheter, followed by nicorandil (84 patients; 2mg) or saline injection (86 patients; 2mL) at the same site...
May 22, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29891037/clinical-characteristics-and-outcomes-in-young-patients-with-st-segment-elevation-myocardial-infarction-after-primary-percutaneous-coronary-intervention
#12
Ming Gao, Waiou Zhao, Zhiguo Zhang, Ling Qin, Weihua Zhang, Yang Zheng
BACKGROUND: There are few published studies of ST-segment elevation myocardial infarction (STEMI) in younger individuals. The differences between these "younger" and "older" individuals may not be fully appreciated by clinicians. The aim of this study was to determine the reasons for the earlier presentation and help to identify strategies for prevention of recurrent myocardial infarction (MI) in younger patients. METHODS: The study population was a cohort of 2,419 consecutive STEMI patients who were treated with primary percutaneous coronary intervention...
June 2018: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/29889168/electrocardiographic-changes-in-patients-with-acute-myocardial-infarction-caused-by-left-main-trunk-occlusion
#13
Cinzia D'Angelo, Silvia Zagnoni, Pamela Gallo, Gianfranco Tortorici, Gianni Casella, Giuseppe Di Pasquale
BACKGROUND: Left main trunk (LMT) occlusion is a rare angiographic finding. The primary purpose was to investigate the ECG pattern of patients with angiographic confirmation of LMT as culprit lesion. METHODS: Forty-eight patients (32 men; mean age 73 years) with angiographic total (21 patients; 44%) or subtotal (27 patients; 56%) occlusion of the LMT were analyzed. Twenty patients (42%) were found to have concomitant coronary lesions. Eighteen patients (38%) required intra-aortic balloon pump support...
June 7, 2018: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/29888621/the-relationship-between-aspirin-resistance-and-carotid-imaging-in-young-patients-with-st-segment-elevated-myocardial-infarction-a-cross-sectional-study
#14
Mustafa Umut Somuncu, Ali Riza Demir, Huseyin Karakurt, Nail Guven Serbest, Belma Kalayci, Umit Bulut, Seda Tukenmez Karakurt
The presence of carotid atherosclerosis accompanied by coronary artery disease is associated with poor prognosis. A subset of patients who take aspirin continue to have recurrent cardiovascular events, which may be due to aspirin resistance (AR). Also, carotid plaques may cause turbulent flow which in turn may lead to platelet activation and poor antiplatelet response. In our study, we aimed to show the prevalence of AR and its relationship between high-risk carotid images in young patients with ST-segment elevated myocardial infarction (STEMI)...
January 1, 2018: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/29888611/trimetazidine-in-the-prevention-of-tissue-ischemic-conditions
#15
Manolis S Kallistratos, Leonidas E Poulimenos, Sofia Giannitsi, Pavlos Tsinivizov, Athanasios J Manolis
Trimetazidine (TMZ) is a metabolic agent with significant anti-ischemic properties. By inhibiting the terminal enzyme in the β-oxidation pathway, it shifts the energy substrate metabolism, enhancing glucose metabolism. Thus, it maintains the required energy production with less oxygen consumption, an effect necessary in cases of myocardi. Trimetazidine was recently reaccredited as add-on therapy for symptomatic treatment in patients with stable angina, not adequately controlled or intolerant to first-line therapy...
January 1, 2018: Angiology
https://www.readbyqxmd.com/read/29887577/cami-nstemi-score-china-acute-myocardial-infarction-registry-derived-novel-tool-to-predict-in-hospital-death-in-non-st-segment-elevation-myocardial-infarction-patients
#16
Rui Fu, Chenxi Song, Jingang Yang, Yan Wang, Bao Li, Haiyan Xu, Xiaojin Gao, Wei Li, Jia Liu, Kefei Dou, Yuejin Yang
BACKGROUND: Accurate risk stratification of non-ST segment elevation myocardial infarction (NSTEMI) patients is important due to great variability in mortality risk, but, to date, no prediction model has been available. The aim of this study was therefore to establish a risk score to predict in-hospital mortality risk in NSTEMI patients.Methods and Results:We enrolled 5,775 patients diagnosed with NSTEMI from the China Acute Myocardial Infarction (CAMI) registry and extracted relevant data...
June 8, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/29887538/circulating-sulfatide-a-novel-biomarker-for-st-segment-elevation-myocardial-infarction
#17
Gang Li, Rui Hu, Yifang Guo, Lili He, Qingjuan Zuo, Yan Wang
AIMS: ST-segment elevation myocardial infarction (STEMI) is an acute inflammatory and thrombotic disease due to coronary artery atherosclerotic lesions. Studies have established the correlation of serum sulfatides with inflammation, thrombogenesis, and atherosclerosis. We observed that serum sulfatides level significantly increased in STEMI patients. In this study, we try to identify the relationship of serum sulfatides level on clinical outcomes of patients in STEMI. METHODS: Serum sulfatides level was monitored in 370 inpatients within 24 h of STEMI onset...
June 9, 2018: Journal of Atherosclerosis and Thrombosis
https://www.readbyqxmd.com/read/29886424/ticagrelor-use-in-acute-myocardial-infarction-insights-from-the-national-cardiovascular-data-registry
#18
Sukhdeep S Basra, Tracy Y Wang, DaJuanicia N Simon, Karen Chiswell, Salim S Virani, Mahboob Alam, Vijay Nambi, Ali E Denktas, Anita Deswal, Biykem Bozkurt, Christie M Ballantyne, Eric D Peterson, Hani Jneid
BACKGROUND: Ticagrelor is a P2Y12 receptor inhibitor with superior clinical efficacy compared with clopidogrel. However, it is associated with reduced efficacy when combined with a high-dose aspirin. METHODS AND RESULTS: Patients in the acute coronary treatment and intervention outcomes network (ACTION) Registry-Get With The Guidelines (GWTG) with acute myocardial infarction from October 2013 through December 2014 were included in the study (167 455 patients; 622 sites)...
June 9, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29885827/prognostic-value-of-myocardial-deformation-imaging-by-cardiac-magnetic-resonance-feature-tracking-in-patients-with-a-first-st-segment-elevation-myocardial-infarction
#19
Gaetano Nucifora, Daniele Muser, Chiara Tioni, Ranjit Shah, Joseph B Selvanayagam
AIM: Scarce data are available whether cardiac magnetic resonance (CMR) assessment of myocardial deformation provides independent and incremental prognostic information in patients with ST-segment elevation myocardial infarction (STEMI). The aim of the present study was to investigate the prognostic utility of CMR feature-tracking derived left ventricular (LV) global circumferential strain (GCS) in STEMI patients. METHODS: A total of 180 patients (mean age 60 ± 12 years, 72% male) admitted because of a first STEMI were included...
May 26, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29884333/prominent-t-wave-and-st-segment-elevation-on-electrocardiogram-during-neonatal-seizure
#20
Tomomasa Terada, Kazuhiro Mori, Miki Inoue, Miki Shono, Yoshihiro Toda
No abstract text is available yet for this article.
May 25, 2018: Pediatrics and Neonatology
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