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Krishna Kumar Sharma, Mukul Mathur, Sailesh Lodha, Surendra Kumar Sharma, Niharika Sharma, Rajeev Gupta
OBJECTIVES: To compare clinical characteristics, treatment, and utilization of evidence-based medicines at discharge from hospital in acute coronary syndrome (ACS) patients with or without diabetes at a tertiary care cardiac center in India. METHODS: We performed an observational study in consecutive patients discharged following management of ACS. We obtained demographic details, comorbid conditions, and cardiovascular risk factors, physical and biochemical parameters, and management...
May 2016: Indian Journal of Endocrinology and Metabolism
Carsten Stengaard, Jacob T Sørensen, Martin B Rasmussen, Hanne M Søndergaard, Karen K Dodt, Troels Niemann, Lars Frost, Tage Jensen, Troels M Hansen, Ingunn Skogstad Riddervold, Claus-Henrik Rasmussen, Mathias Giebner, Jens Aarøe, Michael Maeng, Evald H Christiansen, Steen D Kristensen, Hans E Bøtker, Christian J Terkelsen
BACKGROUND: The 2015 European Society of Cardiology non-ST-elevation myocardial infarction (NSTEMI) guidelines recommend angiography within 24 h in high-risk patients with NSTEMI. An organized STEMI-like approach with pre-hospital or immediate in-hospital triage for acute coronary angiography (CAG) may be of therapeutic benefit but it remains unknown whether the patients can be properly diagnosed in the pre-hospital setting. We aim to evaluate whether it is feasible to diagnose patients with NSTEMI in the pre-hospital phase or immediately upon admission...
May 6, 2016: European Heart Journal. Acute Cardiovascular Care
Anton P M Gorgels
The 12 lead surface electrocardiogram (ECG) is an indispensable tool to identify acute coronary syndromes and the patient at high risk. Acute coronary syndromes are classified according to the presence or absence of ST elevation (ST Elevation Myocardial Infarction or Acute Coronary Syndrome, STEMI or STEACS and Non ST Elevation Myocardial Infarction). NonSTEMI or nonSTEACS is approached by less invasive and frequently delayed treatment strategies. Because also nonSTEACS comprises severe and/or extensive coronary artery disease undertreatment may occur of these patient categories...
July 2013: Journal of Electrocardiology
Dimitrios Alexopoulos
Acute myocardial infarction (AMI) can occur late following stent implantation with an incidence up to >6% at 3-4 years, with no difference between DES and BMS. AMI can originate either from the stented site or from disease progression at nonstented sites. Restenosis, against previous thoughts, can lead to AMI. Stent thrombosis occurs with similar overall frequency following DES and BMS implantations, although a higher very late stent thrombosis with DES has been observed. Dissimilar mechanisms between BMS and DES thrombosis are very likely, with impaired neointimal healing being the rule for DES but the exemption for BMS...
November 3, 2011: International Journal of Cardiology
R Miklík, M Felsöci, J Parenica, D Tomcíková, J Jarkovský, J Spinar
AIM OF STUDY: To evaluate the influence of entry hemoglobin level on the hospitalization mortality of the patients admitted with AHF caused by 4 major etiologies--acute coronary syndrome with ST elevation (STEMI, n = 325) and without ST elevation (nonSTEMI, n = 210), decompensated chronic ischaemic heart disease (IHD, n = 206) and dilated cardiomyopathy (CMP, n = 88). RESULTS: We analyzed 1,253 consecutive 1st-time hospitalizations of AHF patients of whom 1,212 had their entry hemoglobin known...
May 2010: Vnitr̆ní Lékar̆ství
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