keyword
https://read.qxmd.com/read/38508657/comparison-of-troponin-and-natriuretic-peptides-in-takotsubo-syndrome-and-acute-coronary-syndrome-a-meta-analysis
#21
JOURNAL ARTICLE
Liam Steven Couch, James W Garrard, John A Henry, Rafail A Kotronias, Bashir Alaour, Giovanni Luigi De Maria, Keith M Channon, Adrian P Banning, Alexander Richard Lyon, Michael Marber, Thomas Edward Kaier
OBJECTIVE: Takotsubo syndrome (TTS) is an acute heart failure syndrome which resembles acute coronary syndrome (ACS) at presentation. Differentiation requires coronary angiography, but where this does not occur immediately, cardiac biomarkers may provide additional utility. We performed a meta-analysis to compare troponin and natriuretic peptides (NPs) in TTS and ACS to determine if differences in biomarker profile can aid diagnosis. METHODS: We searched five literature databases for studies reporting NPs (Brain NP (BNP)/NT-pro-BNP) or troponin I/T in TTS and ACS, identifying 28 studies for troponin/NPs (5618 and 1145 patients, respectively)...
March 19, 2024: Open Heart
https://read.qxmd.com/read/38507322/safety-of-helicopter-transport-in-patients-with-acute-coronary-syndrome
#22
JOURNAL ARTICLE
Alejandro Ezquerra-Osorio, Alexandra Arias-Mendoza, Mariana Robles-Ledesma, Jesús E Cruz-Martínez, Nitzha A Nájera-Rojas, Luis F de Los Ríos-Arce, Rodrigo Gopar-Nieto, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, José L Briseño-de la Cruz, José Gómez-Mont-Wiechers, Diego Araiza-Garaygordobil
BACKGROUND: ST-elevation myocardial infarction (STEMI) systems of care have reduced inter-hospital transfer times and facilitated timely reperfusion goals. Helicopters may be an option when land transportation is not feasible; however, the safety of air transport in patients with acute coronary syndrome (ACS) is a factor to consider. OBJETIVES: The aim of this study was to evaluate the safety of helicopter transport for patients with ACS. METHODS: Prospective, observational, and descriptive study including patients diagnosed with ACS within the STEMI network of a metropolitan city transferred by helicopter to a large cardiovascular center to undergo percutaneous coronary intervention...
2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38507056/short-and-long-term-outcomes-of-patients-with-active-cancer-presenting-with-an-acute-coronary-syndrome
#23
JOURNAL ARTICLE
Inbar Nardi Agmon, Ori Rahat, Roy Beigel, Tal Ovdat, Manhal Habib, Oran Tzuman, Limor Ilan Bushari, Ran Kornowski, Katia Orvin
BACKGROUND: Management of cancer patients presenting with an acute coronary syndrome (ACS) may be challenging. In this study, we sought to examine whether and how a concomitant diagnosis of active cancer affects patients' management and outcomes following an event of ACS. METHODS: We used a retrospective cohort data analysis of patients from the Acute Coronary Syndrome Israeli Survey (ACSIS) carried out between the years 2016-2021 to compare patients with and without a concomitant diagnosis of active cancer...
March 20, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38505483/international-evaluation-of-an-artificial-intelligence-powered-electrocardiogram-model-detecting-acute-coronary-occlusion-myocardial-infarction
#24
JOURNAL ARTICLE
Robert Herman, Harvey Pendell Meyers, Stephen W Smith, Dario T Bertolone, Attilio Leone, Konstantinos Bermpeis, Michele M Viscusi, Marta Belmonte, Anthony Demolder, Vladimir Boza, Boris Vavrik, Viera Kresnakova, Andrej Iring, Michal Martonak, Jakub Bahyl, Timea Kisova, Dan Schelfaut, Marc Vanderheyden, Leor Perl, Emre K Aslanger, Robert Hatala, Wojtek Wojakowski, Jozef Bartunek, Emanuele Barbato
AIMS: A majority of acute coronary syndromes (ACS) present without typical ST elevation. One-third of non-ST-elevation myocardial infarction (NSTEMI) patients have an acutely occluded culprit coronary artery [occlusion myocardial infarction (OMI)], leading to poor outcomes due to delayed identification and invasive management. In this study, we sought to develop a versatile artificial intelligence (AI) model detecting acute OMI on single-standard 12-lead electrocardiograms (ECGs) and compare its performance with existing state-of-the-art diagnostic criteria...
March 2024: European heart journal. Digital health
https://read.qxmd.com/read/38505481/detection-of-acute-coronary-occlusion-with-a-novel-mobile-electrocardiogram-device-a-pilot-study
#25
JOURNAL ARTICLE
Alejandra Zepeda-Echavarria, Rutger R van de Leur, Melle Vessies, Nynke M de Vries, Meike van Sleuwen, Rutger J Hassink, Thierry X Wildbergh, J L van Doorn, Rien van der Zee, Pieter A Doevendans, Joris E N Jaspers, René van Es
AIMS: Many portable electrocardiogram (ECG) devices have been developed to monitor patients at home, but the majority of these devices are single lead and only intended for rhythm disorders. We developed the miniECG, a smartphone-sized portable device with four dry electrodes capable of recording a high-quality multi-lead ECG by placing the device on the chest. The aim of our study was to investigate the ability of the miniECG to detect occlusive myocardial infarction (OMI) in patients with chest pain...
March 2024: European heart journal. Digital health
https://read.qxmd.com/read/38504353/successful-surgical-treatment-of-impending-paradoxical-embolism-with-pulmonary-embolism-and-myocardial-infarction
#26
JOURNAL ARTICLE
Yong Liu, Zhiyun Yang, Xinxin Sun, Mei Yang, Tao Zhang, Ruilin Li, Ying Wei, Hao Cao
BACKGROUND: Paradoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. CASE PRESENTATION: We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504152/paclitaxel-induced-acute-myocardial-infarction-a-case-report-and-literature-review
#27
JOURNAL ARTICLE
Gi Eun Kim, Ayman R Ibrahim, Duha Shalatouni, Nadin H Abouzeid, Fahmi Othman
BACKGROUND: Paclitaxel is a chemotherapeutic agent commonly used for ovarian, lung, breast carcinoma, and Kaposi's sarcoma. Its common side effects include hypersensitivity reaction, bone marrow suppression, and peripheral neuropathy. However, a rare and life-threatening side effect is paclitaxel-induced myocardial infarction. CASE PRESENTATION: A 71-year-old man with type 2 diabetes mellitus, hypertension, heavy smoking history, previous coronary artery disease with percutaneous coronary intervention (PCI) in left anterior descending artery (LAD), and non-small lung cancer presented with non-ST elevation myocardial infarction during infusion of paclitaxel infusion...
March 19, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38503613/efficacy-and-safety-of-tongxin-formula-after-stent-implantation-for-acute-coronary-syndrome-a-multicenter-double-blind-placebo-controlled-randomized-trial
#28
JOURNAL ARTICLE
Wen Zhu, Su Wang, Lei Zhang, Feng-Qun Xie, Jie Cheng, Xian-Kai Li, Wei Chen, Shi-Yun Yan, Qi-Mao Feng
OBJECTIVE: The aim of this study is to comprehensively evaluate both the efficacy and safety profile of integrating the Tongxin formula with optimal medical therapy (OMT) for patients experiencing acute coronary syndromes subsequent to coronary stenting, over the course of one year. METHODS: We enrolled 150 patients diagnosed with acute coronary syndromes who had received stent placement within one month and exhibited a TCM syndrome characterized by Qi deficiency and blood stasis...
March 1, 2024: Explore: the Journal of Science and Healing
https://read.qxmd.com/read/38500758/artificial-intelligence-based-prediction-model-of-in-hospital-mortality-among-females-with-acute-coronary-syndrome-for-the-jerusalem-platelets-thrombosis-and-intervention-in-cardiology-jupiter-12-study-group
#29
JOURNAL ARTICLE
Ranel Loutati, Nimrod Perel, David Marmor, Tommer Maller, Louay Taha, Itshak Amsalem, Rafael Hitter, Manassra Mohammed, Nir Levi, Maayan Shrem, Motaz Amro, Mony Shuvy, Michael Glikson, Elad Asher
INTRODUCTION: Despite ongoing efforts to minimize sex bias in diagnosis and treatment of acute coronary syndrome (ACS), data still shows outcomes differences between sexes including higher risk of all-cause mortality rate among females. Hence, the aim of the current study was to examine sex differences in ACS in-hospital mortality, and to implement artificial intelligence (AI) models for prediction of in-hospital mortality among females with ACS. METHODS: All ACS patients admitted to a tertiary care center intensive cardiac care unit (ICCU) between July 2019 and July 2023 were prospectively enrolled...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38499900/fractal-analysis-of-left-ventricular-trabeculae-in-post-stemi-from-acute-to-chronic-phase
#30
JOURNAL ARTICLE
Ruo-Yang Shi, Rui Wu, Jinjun Ran, Lang-Lang Tang, Luke Wesemann, Jiani Hu, Liang Du, Wei-Jun Zhang, Jian-Rong Xu, Yan Zhou, Lei Zhao, Jun Pu, Lian-Ming Wu
PURPOSE: The temporal evolution of ventricular trabecular complexity and its correlation with major adverse cardiovascular events (MACE) remain indeterminate in patients presenting with acute ST elevation myocardial infarction (STEMI). METHODS: This retrospective analysis enrolled patients undergoing primary percutaneous coronary intervention (pPCI) for acute STEMI, possessing cardiac magnetic resonance (CMR) data in the acute (within 7 days), subacute (1 month after pPCI), and chronic phases (6 months after pPCI) from January 2015 to January 2020 at the three participating sites...
March 18, 2024: Insights Into Imaging
https://read.qxmd.com/read/38498204/determinants-of-serious-in-hospital-complications-in-patients-with-killip-class-1-2-st-segment-elevation-myocardial-infarction-who-underwent-primary-percutaneous-coronary-intervention
#31
JOURNAL ARTICLE
Yoichi Hori, Kenichi Sakakura, Hiroyuki Jinnouchi, Yousuke Taniguchi, Takunori Tsukui, Masashi Hatori, Taku Kasahara, Yusuke Watanabe, Kei Yamamoto, Masaru Seguchi, Hideo Fujita
Killip classification has been used to stratify the risk of patients with acute myocardial infarction (AMI). There were many reports that Killip class 3 or 4 is closely associated with poor clinical outcomes. In other words, Killip class 1 or 2 is associated with favorable clinical outcomes in patients with AMI, especially when patients received primary percutaneous coronary intervention (PCI). However, some patients with Killip class 1/2 suffer from serious in-hospital complications. This study aimed to identify factors associated with serious in-hospital complications of ST-segment elevation myocardial infarction (STEMI) in patients with Killip class 1/2...
March 18, 2024: Heart and Vessels
https://read.qxmd.com/read/38496261/takotsubo-syndrome-after-bilateral-simultaneous-total-knee-arthroplasty-a-case-report
#32
JOURNAL ARTICLE
Dhanasekaran Soundarrajan, Rithika Singh, Muthiah Subramaniam, Palanisami Dhanasekararaja, Natesan Rajkumar, Shanmuganathan Rajasekaran
INTRODUCTION: Cardiac complications represents a major cause of morbidity and mortality especially after bilateral simultaneous total knee arthroplasty (BS-TKA). Takotsubo syndrome after BS-TKA has not been described in the literature. CASE PRESENTATION: A 60 years-old women underwent BS- TKA and she suddenly developed bradycardia and hypotension after second knee wound closure. The electrocardiography revealed ST elevation and echocardiography showed apical hypokinesia of left ventricle...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38495410/timing-percutaneous-coronary-interventions-and-cardiovascular-events-in-non-st-elevation-myocardial-infarction-patients
#33
JOURNAL ARTICLE
Rouhollah Hemmati, Mobina Fathi, Morteza Heidarian Moghadam, Bahram Mohebbi, Kambiz Keshavarz, Ahmad Mohebbi, Asghar Rahmani
BACKGROUND: The timing of coronary angiography in patients with non-ST elevation myocardial infarction (NSTEMI) needs to be well defined. In this study, based on the timing of percutaneous coronary intervention (PCI), we evaluated the incidence of major adverse cardiovascular events (MACE) in NSTEMI patients. METHODS: In this longitudinal study, we included 156 NSTEMI patients who underwent a PCI at three time points, including <12 hr. (n = 53), 12-24 hr. (n = 54), and ≥24 hr...
2024: American Journal of Cardiovascular Disease
https://read.qxmd.com/read/38493960/short-term-outcomes-and-treatment-intensity-of-major-cardiovascular-emergencies-during-the-sars-cov2-pandemic-in-germany
#34
JOURNAL ARTICLE
Jenny Lübcke, Frederik Peters, Laura Acar, Ursula Marschall, Christian-Alexander Behrendt
OBJECTIVE: There has been a decline in hospital admission rates in many countries since the beginning of the SARS-CoV-2 pandemic. Thereby, the patient selection differed from episodes before the pandemic. This study investigates changes in baseline characteristics as well as short term mortality and probability of receiving an invasive procedure while considering sex disparities. METHODS: Claims data provided by Germany's second largest insurance fund, BARMER, were used...
March 15, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38493469/spontaneous-reperfusion-in-stemi-its-mechanisms-and-possible-modulation
#35
JOURNAL ARTICLE
Joshua H Leader, Rahim Kanji, Diana A Gorog
Patients with transient ST-segment elevation myocardial infarction or spontaneous reperfusion, which occurs in approximately 20% of patients with ST-segment elevation myocardial infarction (STEMI), have smaller infarcts and more favourable clinical outcomes than patients without spontaneous reperfusion. Understanding the mechanisms underlying spontaneous reperfusion is therefore important, since this may identify possible novel therapeutic targets to improve outcomes in patients with STEMI. In this review, we discuss some of the possible determinants of spontaneous reperfusion including pro-thrombotic profile, endogenous fibrinolytic status, lipoprotein(a) (Lp(a)), inflammatory markers and neutrophil extracellular traps (NETs)...
March 17, 2024: Kardiologia Polska
https://read.qxmd.com/read/38492801/early-versus-late-cardiac-magnetic-resonance-in-the-diagnosis-of-minoca
#36
JOURNAL ARTICLE
Inês Macedo Conde, Mariana Salazar, Vítor Hugo Pereira, Catarina Vieira, Carlos Galvão Braga, Cátia Oliveira
INTRODUCTION AND OBJECTIVES: Myocardial infarction with non-obstructive coronary arteries (MINOCA) is responsible for about 10% of all acute myocardial infarctions (AMI). Therapeutic strategies and prognosis depend on the underlying etiology, and a multimodal approach is essential. Characterize the group of patients diagnosed with MINOCA. Evaluate the diagnostic yield of cardiovascular magnetic resonance (CMR). METHODS: This was a retrospective, observational, and analytical study, including 516 patients admitted for a non-ST-elevation MI and with no significant coronary disease on coronary angiography between January 2016 and September 2021...
March 14, 2024: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/38491779/the-great-imitator-a-case-of-lyme-carditis-mimicking-st-elevation-myocardial-infarction
#37
JOURNAL ARTICLE
Sacide S Ozgur, Muhammad Adil Afzal, Dhruv Patel, Nida Ansari, Arielle Aiken, Yezin Shamoon, Rachel Abboud, Fayez Shamoon
Lyme disease, caused by Borrelia burgdorferi and transmitted via Ixodes ticks, is a common vector-borne illness in the United States, with an estimated 476,000 annual cases. While primarily known for its neurological and rheumatological manifestations, Lyme disease can also involve the cardiac system, known as Lyme carditis, which occurs in about 4% to 10% of cases. This case report details a rare instance of Lyme carditis presenting as ST-segment elevation myocardial infarction (STEMI) in a 31-year-old female with no significant medical history...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38490639/prognostic-value-of-e-e-ratio-and-its-change-over-time-in-st-segment-elevation-myocardial-infarction-with-preserved-left-ventricular-ejection-fraction-in-the-reperfusion-era
#38
JOURNAL ARTICLE
Makoto Miyake, Chisato Izumi, Hiroki Watanabe, Neiko Ozasa, Takeshi Morimoto, Hayato Matsutani, Shuichi Takahashi, Yuya Ohtani, Megumi Baba, Jiro Sakamoto, Yodo Tamaki, Soichiro Enomoto, Hirokazu Kondo, Toshihiro Tamura, Yoshihisa Nakagawa, Takeshi Kimura
BACKGROUND: The ratio of early diastolic mitral inflow velocity to mitral annular velocity (E/e') is a prognostic factor in patients with ST-segment elevation myocardial infarction (STEMI). However, data are lacking on long-term outcomes and longitudinal changes in E/e' in patients with preserved left ventricular ejection fraction (LVEF) in the reperfusion era. METHODS: This is a pre-specified echocardiographic substudy of a randomized controlled trial evaluating the efficacy of beta-blockers in STEMI patients with LVEF ≥40 % after primary percutaneous coronary intervention (PCI)...
March 13, 2024: Journal of Cardiology
https://read.qxmd.com/read/38487882/no-reflow-prediction-in-acute-coronary-syndrome-during-percutaneous-coronary-intervention-the-norpacs-risk-score
#39
JOURNAL ARTICLE
Luke P Dawson, Muhammad Rashid, Diem T Dinh, Angela Brennan, Jason E Bloom, Sinjini Biswas, Jeffrey Lefkovits, James A Shaw, William Chan, David J Clark, Ernesto Oqueli, Chin Hiew, Melanie Freeman, Andrew J Taylor, Christopher M Reid, Andrew E Ajani, David M Kaye, Mamas A Mamas, Dion Stub
BACKGROUND: Suboptimal coronary reperfusion (no reflow) is common in acute coronary syndrome percutaneous coronary intervention (PCI) and is associated with poor outcomes. We aimed to develop and externally validate a clinical risk score for angiographic no reflow for use following angiography and before PCI. METHODS: We developed and externally validated a logistic regression model for prediction of no reflow among adult patients undergoing PCI for acute coronary syndrome using data from the Melbourne Interventional Group PCI registry (2005-2020; development cohort) and the British Cardiovascular Interventional Society PCI registry (2006-2020; external validation cohort)...
March 15, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38487148/optical-coherence-tomography-angiography-changes-in-patients-diagnosed-with-acute-coronary-syndrome-a-systematic-review-and-meta-analysis
#40
REVIEW
Anna Maria Sideri, Dimitra Mitsopoulou, Stylianos A Kandarakis, Andreas Katsimpris, Menelaos Kanakis, Aristotelis Karamaounas, Dimitrios Brouzas, Petros Petrou, Evangelia Papakonstantinou, Konstantinos Droutsas, Georgios Giannopoulos, Ilias Georgalas
We conducted a systematic review and meta-analysis to assess the association between optical coherence tomography angiography (OCTA) parameters and acute coronary syndrome (ACS). Two independent reviewers searched the electronic databases (MEDLINE (Medical Literature Analysis and Retrieval System Online), Scopus, Embase (Excerpta Medica Database), Cochrane Library, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform) from inception until April 2023. According to the inclusion criteria of this review, eligible were observational studies, randomized control trials, and registry/database studies that included the eyes of adult ACS patients and assessed OCTA parameters within the macula...
February 2024: Curēus
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