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Coronaria

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55 papers 25 to 100 followers
https://www.readbyqxmd.com/read/29961592/comparative-effectiveness-of-coronary-artery-bypass-grafting-versus-percutaneous-coronary-intervention-in-a-real-world-surgical-treatment-for-ischemic-heart-failure-trial-population
#1
Alexander Iribarne, Anthony W DiScipio, Bruce J Leavitt, Yvon R Baribeau, Jock N McCullough, Paul W Weldner, Yi-Ling Huang, Michael P Robich, Robert A Clough, Gerald L Sardella, Elaine M Olmstead, David J Malenka
OBJECTIVE: There are no prospective randomized trial data to guide decisions on optimal revascularization strategies for patients with multivessel coronary artery disease and reduced ejection fraction. In this analysis, we describe the comparative effectiveness of coronary artery bypass grafting (CABG) versus percutaneous coronary intervention (PCI) in this patient population. METHODS: A multicenter, retrospective analysis of all CABG (n = 18,292) and PCIs (n = 55,438) performed from 2004 to 2014 among 7 medical centers reporting to the Northern New England Cardiovascular Disease Study Group...
October 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/23425523/the-rationale-for-heart-team-decision-making-for-patients-with-stable-complex-coronary-artery-disease
#2
REVIEW
Stuart J Head, Sanjay Kaul, Michael J Mack, Patrick W Serruys, David P Taggart, David R Holmes, Martin B Leon, Jean Marco, Ad J J C Bogers, A Pieter Kappetein
Stable complex coronary artery disease can be treated with coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), or medical therapy. Multidisciplinary decision-making has gained more emphasis over the recent years to select the most optimal treatment strategy for individual patients with stable complex coronary artery disease. However, the so-called 'Heart Team' concept has not been widely implemented. Yet, decision-making has shown to remain suboptimal; there is large variability in PCI-to-CABG ratios, which may predominantly be the consequence of physician-related factors that have raised concerns regarding overuse, underuse, and inappropriate selection of revascularization...
August 2013: European Heart Journal
https://www.readbyqxmd.com/read/25762394/structure-and-functioning-of-a-multidisciplinary-heart-team-for-patients-with-coronary-artery-disease-rationale-and-recommendations-from-a-joint-bcs-bcis-scts-working-group
#3
REVIEW
Heyman Luckraz, Michael Norell, Mamta Buch, Rachael James, Graham Cooper
The decision-making process in the management of patients with ischaemic heart disease has historically been the responsibility of the cardiologist and encompasses medical management, percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG). Currently, there is significant geographical variability in the PCI:CABG ratio. There are now emerging recommendations that this decision-making process should be carried out through a multidisciplinary approach, namely the Heart Team. This work was carried out on behalf of The British Cardiovascular Society (BCS), Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) and British Cardiovascular Intervention Society (BCIS)...
October 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/30165632/2018-esc-eacts-guidelines-on-myocardial-revascularization
#4
Miguel Sousa-Uva, Franz-Josef Neumann, Anders Ahlsson, Fernando Alfonso, Adrian P Banning, Umberto Benedetto, Robert A Byrne, Jean-Philippe Collet, Volkmar Falk, Stuart J Head, Peter Jüni, Adnan Kastrati, Akos Koller, Steen D Kristensen, Josef Niebauer, Dimitrios J Richter, Petar M Seferovic, Dirk Sibbing, Giulio G Stefanini, Stephan Windecker, Rashmi Yadav, Michael O Zembala
No abstract text is available yet for this article.
August 27, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/30166073/ticagrelor-plus-aspirin-for-1-month-followed-by-ticagrelor-monotherapy-for-23-months-vs-aspirin-plus-clopidogrel-or-ticagrelor-for-12-months-followed-by-aspirin-monotherapy-for-12-months-after-implantation-of-a-drug-eluting-stent-a-multicentre-open-label-randomised
#5
MULTICENTER STUDY
Pascal Vranckx, Marco Valgimigli, Peter Jüni, Christian Hamm, Philippe Gabriel Steg, Dik Heg, Gerrit Anne van Es, Eugene P McFadden, Yoshinobu Onuma, Cokky van Meijeren, Ply Chichareon, Edouard Benit, Helge Möllmann, Luc Janssens, Maurizio Ferrario, Aris Moschovitis, Aleksander Zurakowski, Marcello Dominici, Robert Jan Van Geuns, Kurt Huber, Ton Slagboom, Patrick W Serruys, Stephan Windecker
BACKGROUND: We hypothesised that ticagrelor, in combination with aspirin for 1 month, followed by ticagrelor alone, improves outcomes after percutaneous coronary intervention compared with standard antiplatelet regimens. METHODS: GLOBAL LEADERS was a randomised, open-label superiority trial at 130 sites in 18 countries. Patients undergoing percutaneous coronary intervention with a biolimus A9-eluting stent for stable coronary artery disease or acute coronary syndromes were randomly assigned (1:1) to 75-100 mg aspirin daily plus 90 mg ticagrelor twice daily for 1 month, followed by 23 months of ticagrelor monotherapy, or standard dual antiplatelet therapy with 75-100 mg aspirin daily plus either 75 mg clopidogrel daily (for patients with stable coronary artery disease) or 90 mg ticagrelor twice daily (for patients with acute coronary syndromes) for 12 months, followed by aspirin monotherapy for 12 months...
September 15, 2018: Lancet
https://www.readbyqxmd.com/read/30153967/fourth-universal-definition-of-myocardial-infarction-2018
#6
Kristian Thygesen, Joseph S Alpert, Allan S Jaffe, Bernard R Chaitman, Jeroen J Bax, David A Morrow, Harvey D White
No abstract text is available yet for this article.
October 30, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/30104395/heartbeat-the-ongoing-controversy-of-intervention-for-chronic-total-coronary-occlusions
#7
Catherine M Otto
No abstract text is available yet for this article.
September 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29889937/type-2-myocardial-infarction-diagnosis-prognosis-and-treatment
#8
Cian P McCarthy, Muthiah Vaduganathan, James L Januzzi
No abstract text is available yet for this article.
August 7, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29850820/international-expert-consensus-document-on-takotsubo-syndrome-part-ii-diagnostic-workup-outcome-and-management
#9
Jelena-Rima Ghadri, Ilan Shor Wittstein, Abhiram Prasad, Scott Sharkey, Keigo Dote, Yoshihiro John Akashi, Victoria Lucia Cammann, Filippo Crea, Leonarda Galiuto, Walter Desmet, Tetsuro Yoshida, Roberto Manfredini, Ingo Eitel, Masami Kosuge, Holger M Nef, Abhishek Deshmukh, Amir Lerman, Eduardo Bossone, Rodolfo Citro, Takashi Ueyama, Domenico Corrado, Satoshi Kurisu, Frank Ruschitzka, David Winchester, Alexander R Lyon, Elmir Omerovic, Jeroen J Bax, Patrick Meimoun, Guiseppe Tarantini, Charanjit Rihal, Shams Y-Hassan, Federico Migliore, John D Horowitz, Hiroaki Shimokawa, Thomas Felix Lüscher, Christian Templin
The clinical expert consensus statement on takotsubo syndrome (TTS) part II focuses on the diagnostic workup, outcome, and management. The recommendations are based on interpretation of the limited clinical trial data currently available and experience of international TTS experts. It summarizes the diagnostic approach, which may facilitate correct and timely diagnosis. Furthermore, the document covers areas where controversies still exist in risk stratification and management of TTS. Based on available data the document provides recommendations on optimal care of such patients for practising physicians...
June 7, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29878170/takotsubo-syndrome-the-cinderella-compared-with-common-acute-coronary-syndromes
#10
Thomas F Lüscher
No abstract text is available yet for this article.
June 7, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29794083/adenosine-and-ticagrelor-plasma-levels-in-patients-with-and-without-ticagrelor-related-dyspnea
#11
LETTER
Luis Ortega-Paz, Salvatore Brugaletta, Sara Ariotti, K Martijn Akkerhuis, Alexios Karagiannis, Stephan Windecker, Marco Valgimigli
No abstract text is available yet for this article.
August 7, 2018: Circulation
https://www.readbyqxmd.com/read/29850871/international-expert-consensus-document-on-takotsubo-syndrome-part-i-clinical-characteristics-diagnostic-criteria-and-pathophysiology
#12
Jelena-Rima Ghadri, Ilan Shor Wittstein, Abhiram Prasad, Scott Sharkey, Keigo Dote, Yoshihiro John Akashi, Victoria Lucia Cammann, Filippo Crea, Leonarda Galiuto, Walter Desmet, Tetsuro Yoshida, Roberto Manfredini, Ingo Eitel, Masami Kosuge, Holger M Nef, Abhishek Deshmukh, Amir Lerman, Eduardo Bossone, Rodolfo Citro, Takashi Ueyama, Domenico Corrado, Satoshi Kurisu, Frank Ruschitzka, David Winchester, Alexander R Lyon, Elmir Omerovic, Jeroen J Bax, Patrick Meimoun, Guiseppe Tarantini, Charanjit Rihal, Shams Y-Hassan, Federico Migliore, John D Horowitz, Hiroaki Shimokawa, Thomas Felix Lüscher, Christian Templin
Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology...
June 7, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29622976/patients-with-non-obstructive-coronary-artery-disease-admitted-with-acute-myocardial-infarction-carry-a-better-outcome-compared-to-those-with-obstructive-coronary-artery-disease
#13
Yasser Yazied Abdelmonem, Adel Abdelgawad Bakr, Hossam Ghanem El-Hossary, Mohammed Mahmoud Abdel Ghany
Background: The characterization of patients who have acute myocardial infarction (AMI) and insignificant coronary stenosis is unclear. Aim: The present study aimed to investigate the clinical profile, in-hospital and 3-month outcome of AMI patients with insignificant coronary stenosis in comparison with those with significant disease. Methods: This prospective observational study included 200 consecutive patients admitted with AMI. Group I (100 patients) included patients with insignificant CAD (all lesions <50% stenosis)...
September 2017: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://www.readbyqxmd.com/read/25651769/-distance-from-the-nearest-hospital-and-mortality-for-acute-miocardial-infarction-ami-in-sicily-region-southern-italy
#14
Mauro Ferrante, Giovanni De Luca, Giovanna Fantaci, Sebastiano Pollina Addario, Salvatore Scondotto
OBJECTIVES: to analyse the effect of distance between the Municipality of residence and the nearest hospital on out-of-hospital mortality rate of patients died for acute myocardial infarction (AMI). DESIGN: analysis of out-of-hospital mortality using a record linkage database. SETTING AND PARTICIPANTS: Sicilian Municipalities; 4,999 deaths with acute myocardial infarction as primary cause of death, by excluding patients hospitalised within the 15 days before the death event...
November 2014: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29720507/comprehensive-assessment-of-coronary-artery-disease-in-sports-related-sudden-cardiac-arrest
#15
Nicole Karam, Louis Pechmajou, Florence Dumas, Wulfran Bougouin, Ardalan Sharifzadehgan, Frankie Beganton, Guillaume Bonnet, Daniel Jost, Lionel Lamhaut, Olivier Varenne, Pierre Aubry, Georgios Sideris, Christian Spaulding, Alain Cariou, Eloi Marijon, Xavier Jouven
Despite the cardiovascular benefits of regular sports, sudden cardiac arrest (SCA) risk is increased during or shortly after exercise. Association with coronary artery disease (CAD) has been described in small studies, mainly autopsic with potential bias given the high sports-related SCA survival, and focusing on young competitive athletes, whereas sports-related SCA occurs mostly in recreational athletes.1-5 Through the Paris Sudden Death Expertise Center prospective registry that includes all SCAs in Paris and suburbs since May 2011, we performed the first broad comprehensive CAD description in sports-related SCAs, with a comparison with matched non-sports-related SCAs...
May 2, 2018: Circulation
https://www.readbyqxmd.com/read/29325062/st-segment-elevation-myocardial-infarction-the-new-esc-guidelines
#16
Thomas F Lüscher
No abstract text is available yet for this article.
January 7, 2018: European Heart Journal
https://www.readbyqxmd.com/read/28888269/depression-is-associated-with-recurrent-chest-pain-with-or-without-coronary-artery-disease-a-prospective-cohort-study-in-the-emergency-department
#17
Yeunjung Kim, Morgan Soffler, Summer Paradise, Qurat-Ul-Ain Jelani, James Dziura, Rajita Sinha, Basmah Safdar
BACKGROUND: Only a small fraction of acute chest pain in the emergency department (ED) is due to obstructive coronary artery disease (CAD). ED chest pain remains associated with high rates of recidivism, often in the presence of nonobstructive CAD. Psychological states such as depression, anxiety, and elevation of perceived stress may account for this finding. The objective of the study was to determine whether psychological states predict recurrent chest pain (RCP). METHODS: We conducted a prospective cohort study of low- to moderate-cardiac risk ED patients admitted to the Yale Chest Pain Center with acute chest pain...
September 2017: American Heart Journal
https://www.readbyqxmd.com/read/28452408/psychological-interventions-for-coronary-heart-disease
#18
REVIEW
Suzanne H Richards, Lindsey Anderson, Caroline E Jenkinson, Ben Whalley, Karen Rees, Philippa Davies, Paul Bennett, Zulian Liu, Robert West, David R Thompson, Rod S Taylor
BACKGROUND: Coronary heart disease (CHD) is the most common cause of death globally, although mortality rates are falling. Psychological symptoms are prevalent for people with CHD, and many psychological treatments are offered following cardiac events or procedures with the aim of improving health and outcomes. This is an update of a Cochrane systematic review previously published in 2011. OBJECTIVES: To assess the effectiveness of psychological interventions (alone or with cardiac rehabilitation) compared with usual care (including cardiac rehabilitation where available) for people with CHD on total mortality and cardiac mortality; cardiac morbidity; and participant-reported psychological outcomes of levels of depression, anxiety, and stress; and to explore potential study-level predictors of the effectiveness of psychological interventions in this population...
April 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28886622/2017-esc-focused-update-on-dual-antiplatelet-therapy-in-coronary-artery-disease-developed-in-collaboration-with-eacts-the-task-force-for-dual-antiplatelet-therapy-in-coronary-artery-disease-of-the-european-society-of-cardiology-esc-and-of-the-european-association
#19
Marco Valgimigli, Héctor Bueno, Robert A Byrne, Jean-Philippe Collet, Francesco Costa, Anders Jeppsson, Peter Jüni, Adnan Kastrati, Philippe Kolh, Laura Mauri, Gilles Montalescot, Franz-Josef Neumann, Mate Petricevic, Marco Roffi, Philippe Gabriel Steg, Stephan Windecker, Jose Luis Zamorano, Glenn N Levine
No abstract text is available yet for this article.
January 14, 2018: European Heart Journal
https://www.readbyqxmd.com/read/26547467/does-this-patient-with-chest-pain-have-acute-coronary-syndrome-the-rational-clinical-examination-systematic-review
#20
REVIEW
Alexander C Fanaroff, Jennifer A Rymer, Sarah A Goldstein, David L Simel, L Kristin Newby
IMPORTANCE: About 10% of patients with acute chest pain are ultimately diagnosed with acute coronary syndrome (ACS). Early, accurate estimation of the probability of ACS in these patients using the clinical examination could prevent many hospital admissions among low-risk patients and ensure that high-risk patients are promptly treated. OBJECTIVE: To review systematically the accuracy of the initial history, physical examination, electrocardiogram, and risk scores incorporating these elements with the first cardiac-specific troponin...
November 10, 2015: JAMA: the Journal of the American Medical Association
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