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However, the long-term outcomes in patient with an intermediate stenosis received FFR have not yet been investigated comprehensively.Methods:We retrospective included 558 patients underwent both coronaryartery angiography (CAG) and FFR. Circulation, Volume 150, Issue Suppl_1 , Page A4144277-A4144277, November 12, 2024.
Background: Gender-specific outcomes after percutaneous coronary interventions were studied by a number of research groups with different endpoints and cohorts of different ethnic extractions. Results: Overall, in the unmatched cohorts, accumulated target-lesion revascularization rates did not differ between both genders (2.7%
Background There is increasing awareness that patients without standard modifiable risk factors (SMuRFs; diabetes, hypercholesterolaemia, hypertension and smoking) may represent a unique subset of patients with acute coronary syndrome (ACS). Patients with coronaryarterydisease were excluded.
A family history of heart disease often indicates that genetic factors might be at play. Common Heart Diseases with Genetic Links CoronaryArteryDisease (CAD): CAD occurs when the arteries supplying blood to the heart become narrowed or blocked.
The primary outcome was a composite of inhospital adverse events. Associations between multimorbidity patterns and outcomes were evaluated using multivariableadjusted logistic regression models. years]) admitted to the China Chest Pain Center Database between 2016 and 2021. Among 9570 patients, 50% (n=4789) had multimorbidity.
Background and Purpose:Whether imaging markers of cerebral small vessel disease on computed tomography (CT-CSVD) relates to early clinical outcomes after intravenous thrombolysis for acute ischemic stroke remains not well understood. 1.02; score 2: OR 0.46, 95%CI 0.26-0.83; 0.83; score 3: OR 0.16, 95%CI 0.03-0.76, 1.95, p = 0.019).Conclusion:This
Migraine with aura(MwA) is associated with an increased risk of stroke and adverse vascular outcomes compared to those with migraine without aura (MwoA). Patients with any adverse vascular outcomes before the index ECG were excluded. The prevalences of all vascular outcomes are summarized in Table 1. p < 001).
Diabetes is a risk factor for acute ischemic stroke and also a poor predictor of outcome for many interventional surgeries. We performed this retrospective cohort analysis to assess the impact of poorly controlled diabetes, defined as HbA1C of 9.0% or greater. vs. 20.5%; p = 0.048) and stenting (28.4%
We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.
The complications of the procedure and patient’s outcomes were discussed.MethodsWe identified two patients who were admitted to our medical center between January 2022 to December 2022 for subclavian‐carotid artery bypass procedure. Clinical data were reviewed retrospectively.ResultsCase 1.
Patients usually have a normal life expectancy unless other structural heart diseases are present. This case report highlights the modifications in standard techniques, emphasizing the need for specialized skills and strategies to achieve successful outcomes in such cases.
Myocardial infarction (MI) with non-obstructive coronaryarteries (MINOCA) covers an expanding group of patients over recent years. Previous studies showed considerable risks of outcomes in this group. In this study, we aimed to investigate the long-term outcomes in very young patients with MINOCA.
Studies have reported racial disparities in young stroke patients and less desired outcomes of minorities. Socioeconomic status, risk factors, stroke etiology, acute interventions and short-term outcomes were accessed. Compared to White, black and Hispanic had higher rate of Diabetes, Hypertension and prior stroke (p<0.001).
At baseline, prevalence of comorbidities was high (hypertension 66% and 84%, hyperlipidemia 53% and 75%, coronaryarterydisease 18% and 31%, diabetes 25% and 38% in MarketScan and CDM, respectively). Introduction:Patients suffering from transient ischemic attack (TIA) are at high risk of ischemic stroke (IS).
diabetes, hypertension, coronaryarterydisease), underlying the development of cardiac dysfunction and further increased risk. Overall, understanding and utilizing NT-proBNP levels will lead to earlier and more accurate diagnoses of heart failure ultimately improving patient outcomes and reducing healthcare costs.
More past history: hypertension, tobacco use, coronaryarterydisease with two vessel PCI to the right coronaryartery and circumflex artery several years prior. It is unknown when this pain recurred and became constant. He reports feeling nauseated with emesis.
The primary outcome was ischemic stroke; the secondary outcome was combined cardiovascular events (ischemic stroke, myocardial infarction, and cardiovascular death). The plaque-related risk of outcomes was also analyzed according to the presence of statin treatment.
We compared demographics, hospital traits, comorbidities, and outcomes. In-hospital mortality, our primary outcome, was analyzed through multivariate logistic regression using STATA 18.Results:Incorporating to 2.26) and liver disease (OR 2.20, p < 0.01, CI 1.27
A prior history of the following comorbidities was considered: episodic or persistent atrial fibrillation ( n = 920), coronaryarterydisease ( n = 3732), diabetes ( n = 2171), and hypertension ( n = 3353). Patients were classified into three groups based on the number of comorbidities: 0, 1–2, or ≥3.
Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. Women also had more cardiovascular risk factors, including hypertension (66.6% versus 66.3%; P =0.004), older age (62.4±7.9
SPRINT originally randomized 9,361 hypertensive individuals without diabetes into two groups: intensive treatment (SBP<120 mmHg, n=4,678) and standard treatment (SBP<140 mmHg, n=4,683). We selected participants meeting SPRINTs criteria and used a validated polygenic risk score for SBP to emulate treatment effects.
This is particularly beneficial in managing conditions like hypertension, where precise control of dietary sodium intake is crucial. By optimizing risk assessments and providing tailored dietary interventions, precision nutrition can significantly reduce the risk of coronaryarterydisease and other cardiovascular conditions.
Outcomes of interest included symptomatic intracerebral hemorrhage (ICH), asymptomatic ICH, hemorrhagic transformation, mass effect and death. Per local practice patterns, patients who underwent angioplasty or stenting were immediately started on dual antiplatelets with or without a glycoprotein IIb/IIIa inhibitor bridge.
A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronaryarterydisease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion. This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech.
Old ‘NSTEMI’ A history of coronaryarterydisease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. See these posts: Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?
Vital signs were noted to be unremarkable with respect to any hypo-hypertensive crisis, hypoxia, etc. He denied any known medical history, specifically: coronaryarterydisease, hypertension, dyslipidemia, diabetes, heart failure, myocardial infarction, or any prior PCI/stent. No appreciable skin pallor.
They concluded that early rhythm control therapy was associated with a lower risk of adverse cardiovascular outcomes than usual care among patients with early atrial fibrillation and cardiovascular conditions. The study was stopped for efficacy at the third interim analysis after a median of 5.1 years of follow up per patient.
This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. An apical OMI has the same ultrasound findings as takotsubo, and thus mimics takotsubo. Lindahl et al.
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. Incidence of an acute coronary occlusion.
There are significant data that show that if you have obesity, you have a high risk of developing coronary heart disease, heart failure, type 2 diabetes (T2D) or risk factors such as hypertension and dyslipidemia. [1] Liraglutide and cardiovascular outcomes in type 2 diabetes.” International Journal of Obesity 38.8
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness of breath. I believe this is by far the most common outcome for this patient around the world in 2019. No other clinical outcomes were reported. This is technically a STEMI, with 1.5
The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronaryarterydisease. Angiographic and clinical outcomes among patients with acute coronary syndromes presenting with isolated anterior ST-segment depressions. mm for women, 2.0 Pride et al.
Objective This study aims to compare aortic morphology between repaired coarctation patients and controls, and to identify aortic morphological risk factors for hypertension and cardiovascular events (CVEs) in coarctation patients. No geometrical characteristics were associated with hypertension. After a median follow-up of 8.7
Healy, MD, FACC, published an editorial in the New England Journal of Medicine highlighting the findings of two studies in that issue demonstrating clear evidence of sex bias in the management of coronaryarterydisease.2 The result, she says, is improved outcomes, including reductions in hospitalizations and re-admissions.
The primary outcome was the modified Rankin Score (mRS) measured at 12 months. Discussion:In addition to clinical determinants of age, ICH severity, and underlying dementia, educational attainment was an independent predictor of poor functional outcome after ICH.
Even in those with documented coronaryarterydisease, less than half were on statin therapy, which has been repeatedly proven to decrease risk in this high-risk group 1. The more insulin resistant a person is, the higher their risk of coronaryarterydisease. Do not be blind to this obvious risk amplifier.
May marks Mental Health Awareness Month, and at the Cardiometabolic Health Congress (CMHC) , we’re determined to address mental health, especially its significant impact on women and cardiometabolic disease. Significantly, interventions to improve psychological health can positively affect cardiovascular outcomes.
Introduction:Atrial fibrillation (AF) is a common cardiac arrhythmia, the risk of cardiovascular adverse outcome rises when it coexists with acute coronary syndrome (ACS) or undergoing percutaneous coronary intervention (PCI).
The primary outcome was subsequent AIS admission within 90 days. After adjusting for sex, coronaryarterydisease, atrial fibrillation, hypertension, hyperlipidemia, diabetes mellitus, and smoking, patients with MA demonstrated an elevated risk for 90-day AIS (adjusted hazard ratio [aHR] 1.76, 95% CI 1.56-1.99,
Methods The study consisted of 3828 patients diagnosed with STEMI who underwent primer percutaneous coronary intervention. As the primary outcome, in-hospital mortality was defined as all-cause deaths during hospitalization. We aimed to analyze the prognostic value of the NPS in-hospital mortality in patients with STEMI.
One of the most effective treatments for severe coronaryarterydisease, a type of cardiovascular disease, is coronaryartery bypass grafting (CABG), a procedure designed to restore blood flow to the heart. But does coronaryartery bypass surgery also improve erectile capacity?
Tirzepatide’s Dual Benefits in Obesity : Recent studies on tirzepatide , a GLP-1 receptor agonist, revealed significant weight loss and improved outcomes in sleep apnea patients. This program seeks to enhance patient outcomes by intensifying treatment based on CAD stages, including novel lipid-lowering therapies and antithrombotic strategies.
Coronaryartery calcium (CAC) is a measure of atherosclerosis and a strong predictor of cardiovascular disease. Athletes with a family history of coronaryarterydisease had a 174% greater risk of CAC ≥100 and a staggering 335% increased risk of CAC ≥400.
A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. The scan showed a bicuspid aortic valve with severe stenosis and coronaryarterydisease. This was written by Hans Helseth. As her pain worsened, so did her dyspnea.
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