keyword
https://read.qxmd.com/read/38418003/is-there-a-role-for-routine-stress-testing-after-multivessel-or-left-main-pci
#21
EDITORIAL
Debabrata Mukherjee
No abstract text is available yet for this article.
March 5, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38418002/surveillance-stress-testing-after-percutaneous-intervention-for-patients%C3%A2-with-multivessel-or-left%C3%A2-main%C3%A2-coronary-disease
#22
JOURNAL ARTICLE
Joong Min Lee, Hoyun Kim, Young-Sun Park, Ha Hye Jo, So-Min Lim, Jinho Lee, Yeonwoo Choi, Do-Yoon Kang, Jung-Min Ahn, Seonok Kim, Yong-Hoon Yoon, Seung-Ho Hur, Cheol Hyun Lee, Won-Jang Kim, Se Hun Kang, Chul Soo Park, Bong-Ki Lee, Jung-Won Suh, Jae Woong Choi, Kee-Sik Kim, Su Nam Lee, Seung-Jung Park, Duk-Woo Park
BACKGROUND: The optimal surveillance strategy after percutaneous coronary intervention (PCI) for high-risk patients with multivessel or left main coronary artery disease (CAD) remains uncertain. OBJECTIVES: This study aims to determine the prognostic role of routine functional testing in patients with multivessel or left main CAD who underwent PCI. METHODS: The POST-PCI (Pragmatic Trial Comparing Symptom-Oriented Versus Routine Stress Testing in High-Risk Patients Undergoing Percutaneous Coronary Intervention) trial randomized high-risk PCI patients to routine functional testing at 1 year or standard care alone during follow-up...
March 5, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38412440/placement-of-a-self-expanding-transcatheter-aortic-valve-prosthesis-in-the-presence-of-aortic-arch-angulation
#23
JOURNAL ARTICLE
Hector Cubero-Gallego, Helena Tizon-Marcos, Rut Alvarez-Velasco, Alicia Prieto, Juan C Betancourt, Beatriz Vaquerizo
An 83-year-old man with symptomatic severe aortic valve stenosis with severe ventricular dysfunction underwent valvuloplasty with a 25-mm NuCLEUS-X balloon (B. Braun Interventional Systems) and percutaneous coronary intervention of the left main and circumflex arteries (left anterior descending artery presented a chronic total occlusion without viability of this territory) before being referred for transcatheter aortic valve replacement.
February 23, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38411203/anomalous-common-origin-of-the-coronary-arteries-from-a-single-ostium-in-the-right-sinus-of-valsalva-without-a-proper-left-main-stem
#24
JOURNAL ARTICLE
Francesco Amata, Ottavia Cozzi, Damiano Regazzoli, Gabriele Gasparini, Antonio Mangieri, Bernhard Reimers, Giulio Giuseppe Stefanini
No abstract text is available yet for this article.
February 20, 2024: Coronary Artery Disease
https://read.qxmd.com/read/38410944/percutaneous-left-ventricular-unloading-during-high-risk-coronary-intervention-rationale-and-design-of-the-chip-bcis3-randomized-controlled-trial
#25
JOURNAL ARTICLE
Matthew Ryan, Saad M Ezad, Ian Webb, Peter D O'Kane, Matthew Dodd, Richard Evans, Lynn Laidlaw, Sohail Q Khan, Roshan Weerackody, Alan Bagnall, Vasileios F Panoulas, Haseeb Rahman, Julian W Strange, Farzin Fath-Ordoubadi, Stephen P Hoole, Rod H Stables, Nick Curzen, Tim Clayton, Divaka Perera
INTRODUCTION: Percutaneous coronary intervention for complex coronary disease is associated with a high risk of cardiogenic shock. This can cause harm and limit the quality of revascularization achieved, especially when left ventricular function is impaired at the outset. Elective percutaneous left ventricular unloading is increasingly used to mitigate adverse events in patients undergoing high-risk percutaneous coronary intervention, but this strategy has fiscal and clinical costs and is not supported by robust evidence...
February 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38407435/differences-in-coronary-angiographic-findings-and-outcomes-between-men-and-postmenopausal-women-with-stable-chest-pain
#26
JOURNAL ARTICLE
In Sook Kang, Mi-Seung Shin, Hye Ah Lee, Mi-Na Kim, Hack-Lyoung Kim, Hyun-Ju Yoon, Seong-Mi Park, Kyung-Soon Hong, Myung-A Kim
BACKGROUND: Despite the significant increase in cardiovascular events in women after menopause, studies comparing postmenopausal women and men are scarce. METHODS: We analyzed data from a nationwide, multicenter, prospective registry and enrolled 2412 patients with stable chest pain who underwent elective coronary angiography. Binary coronary artery disease (b-CAD) was defined as the ≥50% stenosis of epicardial coronary arteries, including the left main coronary artery...
February 20, 2024: Coronary Artery Disease
https://read.qxmd.com/read/38404671/impact-of-sex-differences-on-the-outcomes-of-coronary-invasive-physiological-assessment-long-term-follow-up-in-a-brazilian-population
#27
JOURNAL ARTICLE
Clarissa Campo Dall'Orto, Lara Eurípedes Vilela, Gilvan Vilella Pinto Filho, Marcos Raphael da Silva
OBJECTIVE: This study aimed to evaluate the rate of major adverse cardiac events (MACEs; the sum of death, myocardial infarction, and revascularization rates) according to interventional strategies guided by invasive physiological methods in both sexes in a Brazilian population during long-term follow-up for an average of 2 years. METHODS: This retrospective single-center study included 151 consecutive patients (232 lesions) between January 2018 and January 2022...
2024: Women's health reports
https://read.qxmd.com/read/38403770/severe-left-main-coronary-artery-stenosis-and-aortic-regurgitation-in-a-patient-presenting-with-takayasu-arteritis
#28
JOURNAL ARTICLE
Akiko Tanihata, Atsushi Shibata, Kazutoshi Teragaki, Toshitake Yoshida, Ryoko Kitada, Akimasa Morisaki, Asahiro Ito, Yasuhiro Izumiya, Daiju Fukuda
We herein report the case of a 46-year-old woman with Takayasu arteritis (TA), severe stenosis in the left main coronary artery (LMCA), and severe aortic regurgitation. Prednisolone and tacrolimus were initiated as TA treatments. Two months after initiating medical therapy, the aortic regurgitation severity improved to a moderate grade, although there was no obvious improvement in LMCA stenosis. Thus, after confirming the resolution of inflammation, we performed coronary artery bypass grafting alone without any aortic valve intervention...
February 26, 2024: Internal Medicine
https://read.qxmd.com/read/38403519/pet-determined-myocardial-perfusion-and-flow-in-coronary-artery-disease-characterization
#29
JOURNAL ARTICLE
Ines Valenta, Thomas H Schindler
Positron emission tomography (PET) myocardial perfusion imaging in conjunction with tracer-kinetic modeling enables the concurrent assessment of myocardial perfusion and regional myocardial blood flow (MBF) of the left ventricle in absolute terms in milliliters per gram per minute (mL/g/min). The non-invasive quantification of MBF during pharmacologically induced hyperemia, at rest, and corresponding myocardial flow reserve (MFR) opens a new avenue for the identification and characterization of classical or endogen type of coronary microvascular dysfunction (CMD) as functional substrate for microvascular angina in patients with non-obstructive coronary artery disease (CAD) and/or no CAD at all...
February 24, 2024: Journal of Medical Imaging and Radiation Sciences
https://read.qxmd.com/read/38390446/spontaneous-coronary-artery-dissection-in-women-in-the-generative-period-clinical-characteristics-treatment-and-outcome-a-systematic-review-and-meta-analysis
#30
REVIEW
Svetlana Apostolović, Aleksandra Ignjatović, Dragana Stanojević, Danijela Djordjević Radojković, Miroslav Nikolić, Jelena Milošević, Tamara Filipović, Katarina Kostić, Ivana Miljković, Aleksandra Djoković, Gordana Krljanac, Zlatko Mehmedbegović, Ivan Ilić, Srdjan Aleksandrić, Valeria Paradies
INTRODUCTION: Spontaneous coronary artery dissection (SCAD) is a non-traumatic and non-iatrogenic separation of the coronary arterial wall. MATERIALS AND METHODS: This systematic review and meta-analysis is reported following the PRISMA guidelines and is registered in the PROSPERO database. A literature search was focused on female patients in generative period (16-55 of age) with acute coronary syndrome (ACS) caused by SCAD, and comparison from that database NP-SCAD (spontaneous coronary artery dissection in non pregnant women) and P-SCAD (spontaneous coronary artery dissection in pregnant women)...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38389357/morphological-correlation-between-the-diameters-of-the-left-main-coronary-artery-and-its-branches-measured-by-qca-and-derived-by-finet-s-law
#31
JOURNAL ARTICLE
Assad Ali Rezigalla
BACKGROUND: Coronary artery diseases are the leading cause of death worldwide. Stenting or angioplasty of coronary arteries as interventional management requires knowledge about the morphology of the coronary tree, including luminal diameters. OBJECTIVE: This work aimed to study the diameters of the left main coronary artery and its branches measured by QCA in relation to the diameters derived by Finet's law. METHODS: This was a cross-sectional, retrospective, hospital-based study...
2024: Current medical imaging
https://read.qxmd.com/read/38385932/left-main-coronary-artery-calcium-and-diabetes-confer-very-high-risk-equivalence-in-coronary-artery-calcium%C3%A2-1-000
#32
JOURNAL ARTICLE
Alexander C Razavi, Leslee J Shaw, Daniel S Berman, Matthew J Budoff, Nathan D Wong, Viola Vaccarino, Marly van Assen, Carlo N De Cecco, Arshed A Quyyumi, Anurag Mehta, Paul Muntner, Michael D Miedema, Alan Rozanski, John A Rumberger, Khurram Nasir, Roger S Blumenthal, Laurence S Sperling, Martin Bødtker Mortensen, Seamus P Whelton, Michael J Blaha, Omar Dzaye
BACKGROUND: Although a coronary artery calcium (CAC) of ≥1,000 is a subclinical atherosclerosis threshold to consider combination lipid-lowering therapy, differentiating very high from high atherosclerotic cardiovascular disease (ASCVD) risk in this patient population is not well-defined. OBJECTIVES: Among persons with a CAC of ≥1,000, the authors sought to identify risk factors equating with very high-risk ASCVD mortality rates. METHODS: The authors studied 2,246 asymptomatic patients with a CAC of ≥1,000 from the CAC Consortium without a prior ASCVD event...
February 12, 2024: JACC. Cardiovascular Imaging
https://read.qxmd.com/read/38376471/automated-vessel-specific-coronary-artery-calcification-quantification-with-deep-learning-in-a-large-multi-center-registry
#33
JOURNAL ARTICLE
Michelle C Williams, Aakash D Shanbhag, Jianhang Zhou, Anna M Michalowska, Mark Lemley, Robert Jh Miller, Aditya Killekar, Parker Waechter, Heidi Gransar, Serge D Van Kriekinge, Valerie Builoff, Attila Feher, Edward J Miller, Timothy Bateman, Damini Dey, Daniel Berman, Piotr J Slomka
AIMS: Vessel specific coronary artery calcification (CAC) is additive to global CAC for prognostic assessment. We assessed accuracy and prognostic implications of vessel-specific automated deep learning (DL) CAC analysis on electrocardiogram gated and attenuation correction computed tomography (CT) in a large multicenter registry. METHODS AND RESULTS: Vessel-specific CAC was assessed in the left main/left anterior descending (LM/LAD), left circumflex (LCX) and right coronary artery (RCA) using a DL model trained on 3000 gated CT and tested on 2094 gated CT and 5969 non-gated attenuation correction CT...
February 20, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38374776/editorial-comment-syntax-score-ii-2020-as-a-tool-for-decision-making-on-revascularization-strategy-in-high-risk-patients-with-complex-coronary-artery-disease
#34
JOURNAL ARTICLE
Srdjan Aleksandric, Branko Beleslin
No abstract text is available yet for this article.
February 20, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38357886/asymptomatic-coronary-artery-disease-in-ischaemic-stroke-survivors-a-systematic-review-and-meta-analysis
#35
JOURNAL ARTICLE
Rahul G Muthalaly, Timothy B Abrahams, Nitesh Nerlekar, Adam J Nelson, Sean Tan, Jasmine Chan, Thanh Phan, Henry Ma, Stephen J Nicholls
BACKGROUND: Ischaemic stroke and coronary artery disease share risk factors and stroke survivors experience a high rate of cardiac events. Recent work suggests a high burden of asymptomatic coronary artery disease (CAD) in ischaemic stroke survivors. Thus, we performed this systematic review and meta-analysis to A) estimate the prevalence of CAD in ischaemic stroke survivors without known CAD and B) evaluate the association between coronary atherosclerosis and future major adverse cardiovascular events (MACE) in stroke survivors...
February 15, 2024: European Stroke Journal
https://read.qxmd.com/read/38355265/ticagrelor-vs-clopidogrel-for-complex-percutaneous-coronary-intervention-in-chronic-coronary-syndrome
#36
RANDOMIZED CONTROLLED TRIAL
Benoit Lattuca, Cedric Mazeau, Guillaume Cayla, Grégory Ducrocq, Paul Guedeney, Mikael Laredo, Raphaëlle Dumaine, Mohamad El Kasty, Petr Kala, Mohammed Nejjari, Ota Hlinomaz, Olivier Morel, Olivier Varenne, Florence Leclercq, Laurent Payot, Christian Spaulding, Farzin Beygui, Grégoire Rangé, Zuzana Motovska, Jean-Jacques Portal, Eric Vicaut, Jean-Philippe Collet, Gilles Montalescot, Johanne Silvain
BACKGROUND: Whether ticagrelor in chronic coronary syndrome patients undergoing complex percutaneous coronary intervention (PCI) can prevent cardiovascular events is unknown. OBJECTIVES: The authors sought to evaluate outcomes of complex PCI and the efficacy of ticagrelor vs clopidogrel in stable patients randomized in the ALPHEUS (Assessment of Loading with the P2Y12 inhibitor ticagrelor or clopidogrel to Halt ischemic Events in patients Undergoing elective coronary Stenting) trial...
February 12, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38349233/current-spectrum-and-outcomes-of-infarct-related-cardiogenic-shock-insights-from-the-culprit-shock-registry-and-rct
#37
JOURNAL ARTICLE
Uwe Zeymer, Tobias Heer, Taoufik Ouarrak, Ibrahim Akin, Marko Noc, Janina Stepinska, Keith Oldroyd, Pranas Serpytis, Giles Montalescot, Kurt Huber, Stephan Windecker, Stefano Savonitto, Christiaan Vrints, Steffen Schneider, Steffen Desch, Holger Thiele
BACKGROUND: We analysed consecutive patients with acute myocardial infarction complicated by cardiogenic shock (CS) who were enrolled into the CULPRIT-SHOCK randomized controlled trial (RCT) and those with exclusion criteria who were included into the accompanying registry. METHODS: In total, 1,075 patients with infarct-related CS were screened for CULPRIT-SHOCK in 83 specialised centres in Europe; 369 of them had exclusion criteria for the RCT and were enrolled into the registry...
February 13, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38341990/-anomalous-origin-of-right-coronary-artery-from-pulmonary-artery-associated-to-left-main-coronary-stenosis
#38
JOURNAL ARTICLE
Omar Ait Mokhtar, Karima Hamidouche, Nadjet Amini, Younes Boudjemline, Abdelmalek Azzouz, Salim Benkhedda
We describe herein a case of a 16 years-old female patient referred to our department for further exploration of a chest pain. Color Doppler echocardiography revealed an abnormal flow at the level of the pulmonary artery. Exercise testing was abnormal leading to further imaging including computed cardiac tomography followed by coronary angiography which showed anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) associated with mid shaft left main stenosis. We discuss this uncommon association and therapeutic options...
February 10, 2024: Annales de Cardiologie et D'angéiologie
https://read.qxmd.com/read/38336822/off-pump-bilateral-internal-thoracic-artery-grafting-in-patients-with-left-main-coronary-artery-disease
#39
JOURNAL ARTICLE
Kohei Hachiro, Noriyuki Takashima, Tomoaki Suzuki
BACKGROUND: To compare postoperative outcomes in patients with left main coronary artery disease who underwent off-pump isolated coronary artery bypass grafting for multivessel disease using either skeletonized bilateral or single internal thoracic artery (ITA). METHODS: Among 1583 patients who underwent isolated coronary artery bypass grafting (CABG) in our hospital between 2002 and 2022, 604 patients with left main coronary artery disease underwent single (n = 169) or bilateral (n = 435) ITA grafting...
February 9, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38333506/the-correlation-between-serum-fibroblast-growth-factor-21-and-the-severity-and-occurrence-of-coronary-artery-disease
#40
JOURNAL ARTICLE
Seema R Sinha, Prem Prakash, J R Keshari, Ravi V Prasad
BACKGROUND: The burden of cardiovascular diseases (CVDs) is increasing worldwide with CVD being one of the leading causes of death, including atherosclerosis, myocardial infarction, cardiomyopathy, and heart failure (HF). Fibroblast growth factor 21 (FGF21) is an endocrine hormone that regulates carbohydrate and lipid metabolism. It exerts direct effects on the cardiovascular system and can serve as an early indicator of CVDs. FGF21's therapeutic properties include reducing obesity, dyslipidaemia, and hyperglycemia, which can help treat metabolic disorders, autophagy, and apoptosis...
January 2024: Curēus
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