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síndrome coronario agudo

Oriol Alegre, Albert Ariza-Solé, María T Vidán, Francesc Formiga, Manuel Martínez-Sellés, Héctor Bueno, Juan Sanchís, Ramón López-Palop, Emad Abu-Assi, Àngel Cequier
The incidence of acute coronary syndromes (ACS) is high in the elderly. Despite a high prevalence of frailty and other aging-related variables, little information exists about the optimal clinical management in patients with coexisting geriatric syndromes. The aim of the LONGEVO-SCA registry (Impacto de la Fragilidad y Otros Síndromes Geriátricos en el Manejo y Pronóstico Vital del Anciano con Síndrome Coronario Agudo sin Elevación de Segmento ST) is to assess the impact of aging-related variables on clinical management, prognosis, and functional status in elderly patients with ACS...
July 2016: Clinical Cardiology
A Daponte-Codina, J Bolívar-Muñoz, E Sánchez-Cantalejo, I Mateo-Rodríguez, G Babio, N Romo-Avilés, F Rosell-Ortiz
OBJECTIVE: To identify factors associated with prehospital delay in people who have had an acute coronary syndrome. METHODS: Using a survey we studied patients admitted due to acute coronary syndrome in the 33 Andalusian public hospitals, obtaining information about different types of variables: socio-demographic, contextual,clinical, perception, action, and transportation.Multivariate logistic regression models were applied to calculate the odds ratios for the delay...
April 30, 2016: Anales del Sistema Sanitario de Navarra
M Artaiz, N Salterain, A Fernández Montero, A Hernández-Hernández, J P Canepa Leite, J Calabuig Nogués
BACKGROUND: Percutaneous coronary intervention (PCI)is currently a basic therapeutic option in patients with coronary artery disease. To carry this out specialists must be trained and accredited. It is known that the number of procedures performed each year influences results. We suggest that some low volume centres may also get good results. METHODS: Prospective analysis of clinical features and immediate results obtained in our centre following PCI performed between 2006 and 2012 and retrospective analysis of overall survival, outcome-free survival and restenosis in patients treated between 2006 and 2009...
April 29, 2016: Anales del Sistema Sanitario de Navarra
M Romero, R Marrugo, M L Paez
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Jassim Al Suwaidi
Cardiovascular diseases are the leading cause of death, worldwide, with disproportionate representation in low- and middle-income countries (LMICs). The Registro Nacional de los Síndromes Coronarios Agudos II (RENASICA II) investigators reported smoking, hypertension and diabetes were the main risk factors among Mexican patients presenting with ST-elevation myocardial infarction (STEMI). Fibrinolytic therapy was administered to 37%. Primary percutaneous coronary intervention (PPCI) was performed in only 15% of patients...
2014: Global Cardiology Science & Practice
Úrsulo Juárez-Herrera, Carlos Jerjes-Sánchez
BACKGROUND: Ischemic heart disease is a growing health problem in Latin America. We aimed to analyze risk factors, acute management, and short-term outcome of Mexicans with ST-elevation myocardial infarction (STEMI). HYPOTHESIS: Modifiable risk factors are associated with the occurrence of STEMI in Mexicans, and potentially preventable acute complications are responsible for most short-term deaths. METHODS: Among 8600 patients enrolled in Registro Nacional de los Síndromes Coronarios Agudos II (RENASICA II) with a suspected acute coronary syndrome, we analyzed 4555 patients (56%; age 21-100 y) with confirmed STEMI who presented within 24 hours from symptoms' onset...
May 2013: Clinical Cardiology
David Vivas, Juan C García-Rubira, Esther Bernardo, Dominick J Angiolillo, Patricia Martín, Alfonso Calle-Pascual, Iván Núñez-Gil, Carlos Macaya, Antonio Fernández-Ortiz
Patients with hyperglycemia, an acute coronary syndrome and poor glycemic control have increased platelet reactivity and poor prognosis. However, it is unclear the influence of a tight glycemic control on platelet reactivity in these patients. This is a subanalysis of the CHIPS study. This trial randomized patients with hyperglycemia to undergo an intensive glucose control (target blood glucose 80-120 mg/dL), or conventional glucose control (target blood glucose <180 mg/dL). We analyzed platelet function at discharge on the subgroup of patients with poor glycemic control, defined with admission levels of HbA1c higher than 6...
February 2013: Journal of Thrombosis and Thrombolysis
David Vivas, Juan C García-Rubira, Esther Bernardo, Dominick J Angiolillo, Patricia Martín, Alfonso Calle-Pascual, Iván Núñez-Gil, Carlos Macaya, Antonio Fernández-Ortiz
OBJECTIVES: Hyperglycaemia has been associated with increased platelet reactivity and impaired prognosis in patients with acute coronary syndrome (ACS). Whether platelet reactivity can be reduced by lowering glucose in this setting is unknown. The aim of this study was to assess the functional impact of intensive glucose control with insulin on platelet reactivity in patients admitted with ACS and hyperglycaemia. METHODS: This is a prospective, randomised trial evaluating the effects of either intensive glucose control (target glucose 80-120 mg/dl) or conventional control (target glucose 180 mg/dl or less) with insulin on platelet reactivity in patients with ACS and hyperglycaemia...
May 2011: Heart: Official Journal of the British Cardiac Society
Ignacio Ferreira-González, Gaietà Permanyer-Miralda, Jaume Marrugat, Magda Heras, José Cuñat, Emilia Civeira, Fernando Arós, Juan J Rodríguez, Pedro L Sánchez, Héctor Bueno
INTRODUCTION AND OBJECTIVES: To investigate the clinical characteristics and treatment of acute coronary syndromes (ACS), and to determine the effects of an early invasive strategy (EIS) in non-ST-elevation ACS (NSTEACS) and of primary percutaneous coronary intervention (PCI) in ST-elevation ACS (STEACS). METHODS: Data were collected prospectively for 9 months during 2004-2005 from 50 hospitals, which were randomly selected according to the level of care provided...
August 2008: Revista Española de Cardiología
M Heras, H Bueno, A Bardají, A Fernández-Ortiz, H Martí, J Marrugat
OBJECTIVE: To analyse intensity of treatment of high-risk patients with non-ST elevation acute coronary syndromes (NSTEACS) included in the DESCARTES (Descripción del Estado de los Sindromes Coronarios Agudos en un Registro Temporal Español) registry. PATIENTS AND SETTING: Patients with NSTEACS (n = 1877) admitted to 45 randomly selected Spanish hospitals in April and May 2002 were studied. DESIGN: Patients with ST segment depression and troponin rise were considered high risk (n = 478) and were compared with non-high risk patients (n = 1399)...
November 2006: Heart: Official Journal of the British Cardiac Society
Héctor Bueno, Alfredo Bardají, Antonio Fernández-Ortiz, Jaume Marrugat, Helena Martí, Magda Heras
INTRODUCTION AND OBJECTIVES: There is little information regarding the management of non-ST segment elevation acute coronary syndromes (NSTE ACS) in Spain from a population-based perspective. Our objective was to study the status of clinical care in patients with NSTE ACS in Spain from a representative perspective of the situation on a national level. PATIENTS AND METHOD: A prospective registry was used for consecutive patients with NSTE ACS admitted to 52 Spanish hospitals with different cardiological facilities...
March 2005: Revista Española de Cardiología
J Marrugat, J Sala, R Masiá, M Pavesi, G Sanz, V Valle, L Molina, L Serés, R Elosua
CONTEXT: Mortality after acute myocardial infarction is worse in women than in men, even after adjustment for comorbidity and age dissimilarities between sexes. OBJECTIVE: To assess the influence of sex on survival after acute myocardial infarction. DESIGN: Inception cohort obtained in a prospective registry of patients with acute myocardial infarction from 1992 through 1994. SETTING: Four teaching hospitals in northeastern Spain...
October 28, 1998: JAMA: the Journal of the American Medical Association
J Marrugat, G Sanz, R Masiá, V Valle, L Molina, M Cardona, J Sala, L Serés, L Szescielinski, X Albert, J Lupón, J Alonso
OBJECTIVES: The aim of the present study was to ascertain whether the degree of accessibility to coronary angiography and revascularization results in differing usages or outcomes, or both, in the setting of a high coverage national health system. BACKGROUND: The selective use of coronary angiography and revascularization procedures in the management of acute myocardial infarction (MI) remains controversial. METHODS: A cohort of 1,460 consecutive patients with a first MI admitted to four referral teaching hospitals (one with tertiary facilities) were followed up for 6 months after admission...
November 1, 1997: Journal of the American College of Cardiology
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