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Curtain etal1 performed an analysis of the VALIANT (Valsartan in Acute MyocardialInfarction) and PARADISE-MI (Prospective ARNi vs ACEInhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI) trials to evaluate whether risk of sudden cardiac arrest (SCA) following acute myocardialinfarction (MI) has changed over time.
This secondary analysis of the Valsartan in Acute MyocardialInfarction (VALIANT) and Prospective ARNi vs ACEInhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI (PARADISE-MI) randomized clinical trials investigates the changes over time in sudden death rate after myocardialinfarction and the characteristics of people (..)
The goal of the PARADISE-MI trial was to assess the efficacy and safety of sacubitril/valsartan compared with ramipril in a contemporary acute myocardialinfarction (AMI) population.
Sacubitril/valsartan and a mineralocorticoid receptor anatogonist (MRA) can be initiated safely and used simultaneously in post-myocardialinfarction complicated by left ventricular (LV) dysfunction, congestion or both – Insight from the PARADISE MI trial. Safety was defined as symptomatic hypotension, hyperkalaemia >5.5 mmol/L,
The EMPACT-MI trial was designed to determine whether SGLT-2 inhibitors could safely help to prevent heart failure and reduce mortality in people with a high risk of heart failure following a heart attack. The study enrolled 6,522 people treated for acute myocardialinfarction at 451 centers in 22 countries.
The primary outcome was major adverse cardiovascular events (MACEs; all-cause mortality, stroke or myocardialinfarction). Time-updated adjusted Cox regression models were used to compare patients with and without RAS inhibitors. Both treatment with ACEinhibitors (aHR 0.89 (95% CI 0.82 to 0.86), p<0.001).
The EMPACT-MI trial was designed to determine whether SGLT-2 inhibitors could safely help to prevent heart failure and reduce mortality in people with a high risk of heart failure following a heart attack. The study enrolled 6,522 people treated for acute myocardialinfarction at 451 centers in 22 countries. 24 conference.
Mean patient age was 55 yrs, 56% (n=575) were women, and comorbid conditions were frequent: hypertension (64.1%), dyslipidemia (46.1%), diabetes (25.7%), documented coronary artery disease (19.3%), previous revascularization (20.6%), previous myocardialinfarction (10.1%). Length of stay (LOS) in the CPU to discharge was 10.4
associated typical MyocardialInfarction therapies such as statins and ACEinhibitors with significantly decreased 1 year mortality in MINOCA patients, which suggests that they do indeed have a similar pathophysiology to MI patients with obstructive coronary disease. Lindahl et al. Available from: [link] [link] 2.
Such cases are classified as MINOCA (MyocardialInfarction with Non-Obstructed Coronary Arteries). Medical Therapy for Secondary Prevention and Long-Term Outcome in Patients With MyocardialInfarction With Nonobstructive Coronary Artery Disease. An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!! Lindahl et al.
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