article thumbnail

Expansion of Transcatheter Aortic Valve Implantation and Mortality due to Aortic Stenosis Between 2010 and 2019

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print.

article thumbnail

Role of lipoprotein(a) concentrations in bioprosthetic aortic valve degeneration

Heart BMJ

Objectives Lipoprotein(a) (Lp(a)) is associated with an increased incidence of native aortic stenosis, which shares similar pathological mechanisms with bioprosthetic aortic valve (bAV) degeneration. However, evidence regarding the role of Lp(a) concentrations in bAV degeneration is lacking.

article thumbnail

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. A downside of the study was that it had included lesions of 50 to 79% stenosis also. identified physiologically significant stenosis.

article thumbnail

Abstract TMP70: Association of Distal Hyperintense Vessel Sign and Outcomes in Patients With Symptomatic Posterior Circulation Intracranial Atherosclerotic Disease

Stroke Journal

Patients were included if they met VERiTAS criteria (≥50% vertebrobasilar stenosis). The DHV sign was defined as positive when the increased intensity in the basilar artery distal to stenosis was higher than the surrounding CSF signal. The DHV sign was evaluated by blinded vascular neurologists and neuro-radiologists.

article thumbnail

Temporal Trend in Revascularization for Patients With Ischemic Cardiomyopathy and Multivessel Coronary Artery Disease

Journal of the American Heart Association

The PCI trend remained unchanged from 2007 to 2010 and then increased significantly (annual percentage change, 3.2%;P=0.02). A decline in CABG procedures was observed from 2007 to 2011 (annual percentage change, −11.5%;P=0.003), P=0.003), followed by stabilization.

article thumbnail

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Dr. Smith's ECG Blog

The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 Academic Emergency Medicine 17(s1):S194; May 2010 The patient thus did not need immediate angiography. An echocardiogram showed: Left ventricular hypertrophy concentric. mmHg mean gradient. cm^2 valve area.

article thumbnail

Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Dr. Smith's ECG Blog

First high sensitivity troponin I = 4 ng/L (nearly below the limit of detection) Angiogram: --Culprit is 99 % stenosis in the proximal ostial LAD --LCX is a large OM with a large lateral segment, the lateral segement has a diffuse 90% disease in the ostial proximal segment of it. This is FAR LESS than all other studies of shockable arrest.