keyword
https://read.qxmd.com/read/38753565/impact-of-previous-percutaneous-coronary-intervention-on-angiographic-and-clinical-outcomes-in-patients-with-st-segment-elevation-myocardial-infarction
#41
COMPARATIVE STUDY
Alejandro Sierra-González de Cossío, Diego Araiza-Garaygordobil, Nitzha A Nájera-Rojas, Alma P Alonso-Bringas, Mariana Robles-Ledesma, José Luis Briseño-de la Cruz, Rodrigo Gopar-Nieto, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, Alexandra Arias-Mendoza
BACKGROUND: The prognosis of patients with ST-segment elevation myocardial infarction (STEMI) and previous percutaneous coronary intervention (PCI) is uncertain. OBJECTIVE: To evaluate if previous PCI in patients with STEMI increases the risk of major cardiovascular events, and if final epicardial blood flow differs according to the reperfusion strategy. MATERIAL AND METHODS: Observational, longitudinal, comparative sub-study of the PHASE-MX trial that included patients with STEMI and reperfusion within 12 hours of symptom onset, who were classified according to their history of PCI...
2024: Gaceta Médica de México
https://read.qxmd.com/read/38753182/serum-free-fatty-acid-concentration-predicts-ards-after-off-pump-cabg-a-prospective-observational-study
#42
JOURNAL ARTICLE
Peng Lu, Jidan Fan, Xiangyu Li, Zhaoyang Liu, Yuanpu Qi, Zihao Shen, Ziang Wen, Chenlong Yi, Meijuan Song, Xiaowei Wang
BACKGROUND: Free fatty acids (FFAs) are established risk factors for various cardiovascular and metabolic disorders. Elevated FFAs can trigger inflammatory response, which may be associated with the occurrence of acute respiratory distress syndrome (ARDS) in cardiac surgery. In this prospective study, we aimed to investigate the association between circulating FFA and the incidence of ARDS, as well as the length of ICU stay, in patients undergoing off-pump coronary artery bypass grafting (CABG)...
May 16, 2024: Lung
https://read.qxmd.com/read/38752969/microvascular-resistance-reserve-and%C3%A2-the%C3%A2-stemi-patient-putting-a-finer-point-on-the-cfr-pencil
#43
EDITORIAL
Morton J Kern, Arnold H Seto
No abstract text is available yet for this article.
May 1, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38752951/artificial-intelligence-enabled-quantitative-coronary-plaque-and-hemodynamic-analysis-for-predicting-acute-coronary-syndrome
#44
JOURNAL ARTICLE
Bon-Kwon Koo, Seokhun Yang, Jae Wook Jung, Jinlong Zhang, Keehwan Lee, Doyeon Hwang, Kyu-Sun Lee, Joon-Hyung Doh, Chang-Wook Nam, Tae Hyun Kim, Eun-Seok Shin, Eun Ju Chun, Su-Yeon Choi, Hyun Kuk Kim, Young Joon Hong, Hun-Jun Park, Song-Yi Kim, Mirza Husic, Jess Lambrechtsen, Jesper M Jensen, Bjarne L Nørgaard, Daniele Andreini, Pal Maurovich-Horvat, Bela Merkely, Martin Penicka, Bernard de Bruyne, Abdul Ihdayhid, Brian Ko, Georgios Tzimas, Jonathon Leipsic, Javier Sanz, Mark G Rabbat, Farhan Katchi, Moneal Shah, Nobuhiro Tanaka, Ryo Nakazato, Taku Asano, Mitsuyasu Terashima, Hiroaki Takashima, Tetsuya Amano, Yoshihiro Sobue, Hitoshi Matsuo, Hiromasa Otake, Takashi Kubo, Masahiro Takahata, Takashi Akasaka, Teruhito Kido, Teruhito Mochizuki, Hiroyoshi Yokoi, Taichi Okonogi, Tomohiro Kawasaki, Koichi Nakao, Tomohiro Sakamoto, Taishi Yonetsu, Tsunekazu Kakuta, Yohei Yamauchi, Jeroen J Bax, Leslee J Shaw, Peter H Stone, Jagat Narula
BACKGROUND: A lesion-level risk prediction for acute coronary syndrome (ACS) needs better characterization. OBJECTIVES: This study sought to investigate the additive value of artificial intelligence-enabled quantitative coronary plaque and hemodynamic analysis (AI-QCPHA). METHODS: Among ACS patients who underwent coronary computed tomography angiography (CTA) from 1 month to 3 years before the ACS event, culprit and nonculprit lesions on coronary CTA were adjudicated based on invasive coronary angiography...
May 15, 2024: JACC. Cardiovascular Imaging
https://read.qxmd.com/read/38752733/understanding-perioperative-acute-myocardial-ischemia-following-coronary-artery-bypass-grafting
#45
JOURNAL ARTICLE
Ritika Kompella, Haris Patail, Tanya Sharma, Syed Abbas Haidry, William Frishman, Wilbert S Aronow
Surgical revascularization and coronary artery bypass grafting are often pursued as treatment for obstructive coronary artery disease. Despite trends of increased referrals for complex percutaneous coronary intervention, surgical revascularization often remains the standard of care for patients with multivessel or complex coronary artery disease. Myocardial ischemia during the perioperative and postoperative periods during coronary artery bypass grafting remains a challenge. Nuanced consideration is necessary to decide on interventions that include conservative management and percutaneous or repeat surgical revascularization...
May 16, 2024: Cardiology in Review
https://read.qxmd.com/read/38752714/percutaneous-coronary-intervention-for-bifurcation-coronary-lesions-using-optimised-angiographic-guidance-the-18th-consensus-document-from-the-european-bifurcation-club
#46
JOURNAL ARTICLE
Francesco Burzotta, Yves Louvard, Jens Flensted Lassen, Thierry Lefèvre, Gérard Finet, Carlos Collet, Jacek Legutko, Maciej Lesiak, Yutaka Hikichi, Remo Albiero, Manuel Pan, Yiannis S Chatzizisis, David Hildick-Smith, Miroslaw Ferenc, Thomas W Johnson, Alaide Chieffo, Olivier Darremont, Adrian Banning, Patrick W Serruys, Goran Stankovic
The 2023 European Bifurcation Club (EBC) meeting took place in Warsaw in October, and the latest evidence for the use of intravascular ultrasound (IVUS) and optical coherence tomography (OCT) to optimise percutaneous coronary interventions (PCI) on coronary bifurcation lesions (CBLs) was a major focus. The topic generated deep discussions and general appraisal on the potential benefits of IVUS and OCT in PCI procedures. Nevertheless, despite an increasing recognition of IVUS and OCT capabilities and their recognised central role for guidance in complex CBL and left main PCI, it is expected that angiography will continue to be the primary guidance modality for CBL PCI, principally due to educational and economic barriers...
May 13, 2024: EuroIntervention
https://read.qxmd.com/read/38752269/comparative-study-on-the-expression-characteristics-of-transgenes-inserted-into-the-gt-rosa-26sor-and-h11-loci-in-mice
#47
JOURNAL ARTICLE
Zhilan Yu, Jiahao Shi, Jingyu Zhang, Youbing Wu, Ruling Shen, Jian Fei
The Gt(ROSA)26Sor ( ROSA26 ) and H11 loci are commonly used as safe harbors for the construction of targeted transgenic mice. However, it remains unclear whether these two loci have distinct effects on transgene expression. In this study, we insert three differently colored fluorescent protein expression cassettes (EGFP, tdTomato and mTagBFP2) driven by the CAG promoter into the ROSA26 and H11 loci. We generate five single-transgenic mouse models and a triple-transgenic mouse model expressing three distinct fluorescent proteins simultaneously...
May 16, 2024: Acta Biochimica et Biophysica Sinica
https://read.qxmd.com/read/38752077/pocus-for-thrombus-emphasizing-the-importance-of-initial-point-of-care-ultrasound-in-the-management-of-pulmonary-thromboembolism
#48
Menkeoma Laura Okoli, Poonam Rao, Siima Kavuma, Ravi Vijay Bulusu, Shafik Hanna-Moussa, Khashayar Vahdat
Pulmonary embolism (PE) constitutes a substantial health burden among individuals in the United States. It ranks as the third most common cause of cardiovascular death aside from stroke and myocardial infarction. Diagnostic errors are common with PE as patients can present with non-specific symptoms or could be completely asymptomatic with PE being an incidental finding. Diagnostic errors can result in missed or late diagnosis of PE, which, in turn, increases health care costs, morbidity, and mortality rates...
April 2024: Curēus
https://read.qxmd.com/read/38751901/excimer-laser-coronary-angioplasty-without-stenting-in-a-37-year-old-man-with-acute-coronary-syndrome-involving-left-main-trunk-a-case-report
#49
Ryo Shigeno, Atsushi Hirohata
BACKGROUND: Excimer laser coronary angioplasty (ELCA) is utilized to reduce thrombus in acute coronary syndrome (ACS). However, the feasibility and safety of ELCA for patients with ACS involving the left main trunk (LMT) and bifurcation, as well as the safety of a stentless strategy with ELCA, are not well-documented. CASE SUMMARY: A 37-year-old man without any past medical history presented with chest pain. Electrocardiogram showed ST-segment elevation in leads I, aVL, and V2-V6...
May 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38751661/immune-inflammatory-biomarkers-for-the-occurrence-of-mace-in-patients-with-myocardial-infarction-with-non-obstructive-coronary-arteries
#50
JOURNAL ARTICLE
Hongya Zhou, Xicong Li, Wenyuan Wang, Yuanyi Zha, Guanli Gao, Silin Li, Bei Liu, Ruiwei Guo
BACKGROUND: Neutrophil-to-high-density lipoprotein cholesterol ratio (NHR), monocyte-to-high-density lipoprotein cholesterol ratio (MHR), lymphocyte-to-high-density lipoprotein cholesterol ratio (LHR), platelet-to-high-density lipoprotein cholesterol ratio (PHR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and aggregate index of systemic inflammation (AISI) have been identified as immune-inflammatory biomarkers associated with the prognosis of cardiovascular diseases...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38750460/role-of-myocardial-strain-imaging-in-diagnosing-inducible-myocardial-ischemia-with-treadmill-contrast-enhanced-stress-echocardiography
#51
JOURNAL ARTICLE
Rami M Abazid, Nilkanth Pati, Maged Elrayes, Mark Chandy, Magdi Hassanin, Andrew Mathew, Sabe De, Rodrigo Bagur, Nikolaos Tzemos
INTRODUCTION: The aim of this study is to analyze the diagnostic value of global longitudinal strain (GLS) in detecting inducible myocardial ischemia in patients with chest pain undergoing treadmill contrast-enhanced stress echocardiography (SE). METHODS: We retrospectively enrolled all patients who underwent invasive coronary angiography after treadmill contrast-enhanced SE. Rest and peak-stress myocardial GLS, segmental LS, and LS of 4-chamber (CH), 2-CH, and 3-CH views were reported...
May 16, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38750455/epicardial-fat-volume-is-associated-with-primary-coronary-slow-flow-phenomenon-in-patients-with-severe-aortic-stenosis-undergoing-transcatheter-valve-implantation
#52
JOURNAL ARTICLE
Maren Weferling, Andreas Rolf, Julia Treiber, Ulrich Fischer-Rasokat, Christoph Liebetrau, Christian W Hamm, Damini Dey, Won-Keun Kim
BACKGROUND: Primary coronary slow flow (CSF) is defined as delayed opacification of the distal epicardial vasculature during coronary angiography in the absence of relevant coronary artery stenoses. Microvascular disease is thought to be the underlying cause of this pathology. Epicardial fat tissue (EFT) is an active endocrine organ directly surrounding the coronary arteries that provides pro-inflammatory factors to the adjacent tissue by paracrine and vasocrine mechanisms. The aim of the present study was to investigate a potential association between EFT and primary CSF and whether EFT can predict the presence of primary CSF...
May 16, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38749750/a-case-of-coronary-artery-perforation-caused-by-manual-cardiopulmonary-resuscitation-in-the-catheterization-laboratory
#53
JOURNAL ARTICLE
Kei Morishita, Takatoshi Unno, Takahiko Murakami, Kensuke Okada, Hiroshi Matsunaga, Kazuo Asada, Yasutoshi Omori, Akiko Ishihara, Yoshiro Kamoi, Takahiro Tanaka
Cardiopulmonary resuscitation (CPR) is essential for the survival of cardiac arrest patients, but it can cause severe traumatic complications. In the catheterization laboratory, various physical constraints complicate the appropriate performance of CPR. However, we are not aware of reports of CPR complications in this setting. Here, we report a case of coronary artery perforation (CAP) caused by manual CPR in the catheterization laboratory. The patient, a 68-year-old woman, initially underwent successful percutaneous coronary intervention (PCI) for unstable angina...
May 15, 2024: International Heart Journal
https://read.qxmd.com/read/38749747/a-surviving-case-of-myocardial-infarction-with-ventricular-septal-rupture-and-ventricular-aneurysm-following-gastrointestinal-bleeding
#54
JOURNAL ARTICLE
Misa Kusumoto, Jumpei Yamamoto, Sakura Kaneda, Takuya Matsushiro, Masaya Yamamoto, Hisao Hara, Nobuyuki Inoue, Yukio Hiroi
A 55-year-old man presented to the emergency department with worsening shortness of breath 1 month after a gastrointestinal bleed. He had congestive heart failure, and an electrocardiogram suggested ischemic heart disease involvement. Echocardiography revealed a ventricular septal defect complicated by a left ventricular aneurysm in the inferior-posterior wall. Conservative treatment was started, but hemodynamic collapse occurred on the third day of admission and coronary angiography revealed a revascularizing lesion in the right fourth posterior descending coronary artery...
May 15, 2024: International Heart Journal
https://read.qxmd.com/read/38749591/improving-stent-optimization-in%C3%A2-bifurcation-stenting-revealing-the-unseen
#55
EDITORIAL
Goran Stankovic, Jens Flensted Lassen
No abstract text is available yet for this article.
May 13, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38749590/unintended-deformation-of-stents-during%C3%A2-bifurcation-pci-an-october-trial-substudy
#56
RANDOMIZED CONTROLLED TRIAL
Lene Nyhus Andreasen, Omeed Neghabat, Peep Laanmets, Indulis Kumsars, Johan Bennett, Niels T Olsen, Jacob Odenstedt, Francesco Burzotta, Thomas W Johnson, Peter O'Kane, Juha E K Hartikainen, James C Spratt, Evald H Christiansen, Niels R Holm
BACKGROUND: Unintended deformation of implanted coronary stents can lead to loss of coronary access, stent thrombosis and coronary events during follow-up. The incidence, mechanisms and clinical outcomes of unintended stent deformations (USD) during complex bifurcation stenting are not well characterized. OBJECTIVES: In a prespecified analysis of the OCTOBER (European Trial on Optical Coherence Tomography Optimized Bifurcation Event Reduction) trial, we aimed to: 1) determine the incidence and characterize mechanisms of USD identified by optical coherence tomography (OCT); and 2) evaluate physician's detection and correction of accidental abluminal rewiring and USD...
May 13, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38749589/coronary-function-testing-the-more-the-merrier
#57
EDITORIAL
Coen K M Boerhout, Tim P van de Hoef
No abstract text is available yet for this article.
May 13, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38749588/multivessel-coronary-function-testing-increases-diagnostic-yield-in-patients-with-angina-and-nonobstructive-coronary-arteries
#58
MULTICENTER STUDY
Rajan Rehan, Christopher C Y Wong, James Weaver, William Chan, Jennifer A Tremmel, William F Fearon, Martin K C Ng, Andy S C Yong
BACKGROUND: Invasive CFT is the gold standard for diagnosing coronary vasomotor dysfunction in patients with ANOCA. Most institutions recommend only testing the left coronary circulation. Therefore, it is unknown whether testing multiple coronary territories would increase diagnostic yield. OBJECTIVES: The aim of this study was to evaluate the diagnostic yield of multivessel, compared with single-vessel, invasive coronary function testing (CFT) in patients with angina and nonobstructive coronary arteries (ANOCA)...
May 13, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38749525/bilateral-optic-disc-collaterals-secondary-to-high-flow-dural-arteriovenous-fistula-a-diagnostic-dilemma
#59
JOURNAL ARTICLE
Sampada Dattatray Kulkarni Irlekar, Ramesh Kekunnaya, Virender Sachdeva
A man in his 80s, with a history of diabetes, hypertension and coronary artery disease, presented with bilateral painless progressive vision loss 2 years prior. His examination showed subnormal best corrected visual acuity of 20/50 and 20/80 in the right eye and left eye (LE), respectively, grade II relative afferent pupillary defect in LE, normal anterior segment, intra-ocular pressure (IOP) and defective colour vision in both eyes (BE). Fundus examination revealed optic disc pallor, disc collaterals and grade 2 hypertensive retinopathy in BE...
May 15, 2024: BMJ Case Reports
https://read.qxmd.com/read/38749513/multiple-conjunctival-autografts-from-the-contralateral-eye-for-management-of-recurrent-symblepharon-in-eyes-with-unilateral-chemical-burn
#60
JOURNAL ARTICLE
Shayeri Ganguly, Supriya Sharma, Charul Singh, Swapna S Shanbhag
We present two cases which underwent complex ocular surface reconstruction to achieve a stable ocular surface. Conjunctival autograft (CAG) procedure was required more than once, in addition to simple limbal epithelial transplantation to address extensive symblepharon in the eyes with total unilateral limbal stem cell deficiency secondary to acid ocular burns. These cases demonstrate that multiple CAGs may be harvested from the contralateral unaffected eye to correct recurrent symblepharon without any donor site complications if the correct surgical technique is adopted...
May 15, 2024: BMJ Case Reports
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