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In the ISCHEMIA (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches) trial, researchers examined the risk of ischemic events in patients with stable coronaryarterydisease. years, with 57.1% occurring within 30 days after CABG. years, with 21.1% occurring within 30 days after PCI.
Coronaryarterydisease remains a leading cause of morbidity and mortality worldwide. Recent research has illuminated the role of total coronary atherosclerotic plaque activity across the entire coronaryarterial tree in predicting patient-level clinical outcomes. 3.72; P = 0.013).
The primary outcomes of interest were mortality in ventricular and atrial arrhythmias, and later diagnosis of cardiac disease in atrial arrhythmias. However, it is linked to subsequent diagnosis of AF, coronaryarterydisease and myocardialinfarction.
The optimal surveillance strategy after percutaneous coronary intervention (PCI) for high-risk patients with multivessel or left main coronaryarterydisease (CAD) remains uncertain. The primary outcome was a composite of death from any cause, myocardialinfarction, or hospitalization for unstable angina at 2 years.
Objective To explore trends in prognosis and use of glucose-lowering drugs (GLD) in patients with diabetes and coronaryarterydisease (CAD). Information on GLD (dispended 6 months before or after coronary angiography) was collected from the Swedish Prescribed Drug Registry. vs. 6.8%), myocardialinfarction (7.7%
Together, the two companies will work to further the development and commercialization of Medis Quantitative Flow Ratio (Medis QFR), a non-invasive approach to the assessment of coronary physiology, as part of GE HealthCare’s interventional cardiology portfolio built around the Allia Platform. Accessed May 2024. Leon, Shubin Qiao, Gregg W.
Left main coronaryarterydisease (CAD) and diabetes pose significant challenges in cardiovascular care, often leading to adverse outcomes. Preliminary evidence from trials focusing on patients with multivessel disease has hinted at diabetes as a potential modifier of treatment outcomes.
BackgroundAcute psychological stress may induce physiological changes predisposing individuals to adverse health outcomes through hemodynamic and vascular effects. The outcome was a composite of cardiovascular death, nonfatal myocardialinfarction, and heart failure hospitalizations during followup.
(MedPage Today) -- ATLANTA -- Fractional flow reserve (FFR)-guided complete revascularization in patients with ST-segment elevation myocardialinfarction (STEMI) and multivessel coronaryarterydisease did not result in better outcomes compared.
A common feedback I get is that people with existing coronaryarterydisease feel like it doesn’t apply to them. Arguably, applying the principles of prevention offers more bang for buck in the short term for people WITH coronaryarterydisease than those without coronaryarterydisease.
BackgroundRecent evidence highlights an increasing incidence of myocardialinfarction in young women. The primary outcome was a composite of inhospital adverse events. Associations between multimorbidity patterns and outcomes were evaluated using multivariableadjusted logistic regression models.
Background The prognosis of myocardial ischaemia with no obstructive coronaryarterydisease (INOCA) and its underlying vasomotor disorders, vasospastic angina (VSA) and microvascular angina (MVA), is not well defined.
What is the outcome of contemporary revascularization strategies in patients presenting with myocardialinfarction (MI) and multivessel coronaryarterydisease (CAD)?
A meta-analysis was performed on primary outcomes of major adverse cardiac events (MACE) and all-cause mortality. A random-effects model was used for outcomes with high heterogeneity.Results:We included 4 RCTs with 3173 patients comparing FFR-guided CR with culprit-only PCI in patients with STEMI and multivessel coronaryarterydiseases.
Background Acute myocardialinfarction (AMI) is one of the most lethal complications of COVID-19 hospitalization. In this study, we looked for the occurrence of AMI and its effects on hospital outcomes among COVID-19 patients. The odds of adverse outcomes such as mortality (aOR 3.90, 95% CI: 3.48–4.36), Mortality (43.2%
ObjectivesRevascularization in patients with severely reduced left ventricular function and coronaryarterydisease (CAD) is associated with a high perioperative risk.
BackgroundData on the predictive value of coronary computed tomography angiographyderived fractional flow reserve (CTFFR) for longterm outcomes are limited.Methods and ResultsA retrospective pooled analysis of individual patient data was performed. The primary outcome was major adverse cardiovascular events.
Circulation: Cardiovascular Quality and Outcomes, Volume 17, Issue 12 , Page e011040, December 1, 2024. Secondary end points included cardiovascular death and nonfatal myocardialinfarction with and without hospitalization for heart failure. Participants were followed up for a median time of 4.9
Background Insights on the differences in clinical outcomes, quality of life (QoL) and health resource utilisation (HRU) with different levels of care available to post-acute myocardialinfarction (AMI) populations in rural and urban settings are limited. The adjusted incidence rate ratio was 0.92 (95% CI, 0.74
Nature Reviews Cardiology, Published online: 07 May 2024; doi:10.1038/s41569-024-01014-0 In 1993, Lincoff and Topol claimed that the thrombolytic treatment of ST-segment elevation myocardialinfarction was suboptimal in many patients and gave an ‘illusion of reperfusion’.
Background Several studies have demonstrated that complete revascularisation improves clinical outcomes in patients with ST-segment elevation myocardialinfarction (STEMI) and multivessel coronarydisease. However, the optimal timing of non-culprit lesion revascularisation remains controversial.
(MedPage Today) -- ATLANTA -- Plasma-derived human apolipoprotein A1 (CSL112) infusions failed to improve outcomes for acute myocardialinfarction (MI) patients with multivessel coronaryarterydisease and other cardiovascular risk factors, the.
We aimed to investigate the prevalence and outcomes of patients with SMuRF-less ACS undergoing percutaneous coronary intervention (PCI) compared with those with SMuRFs. Patients with coronaryarterydisease were excluded. The primary outcome was 30-day mortality. vs 3.6%, p=0.019) and arrhythmia (11.2%
In this study, two independent cohorts were used to investigate for cardiovascular magnetic resonance (CMR) and genetic features of dilated cardiomyopathy (DCM) in individuals with coronaryarterydisease (CAD). NI-LGE was not independently associated with adverse clinical outcomes. vs. 6.7%, odds ratio 1.5,
A study in the Journal of Vascular Surgery revealed that adding FFRCT assessments to patient workups prior to peripheral arterydisease surgeries has a massive impact on coronaryarterydisease detection, treatments, and long-term outcomes.
Percutaneous coronary intervention (PCI) is widely adopted to treat chronic coronaryarterydisease. In this review, we discuss the current evidence in favour and against PCI in stable coronary syndromes and highlight the pitfalls of the available studies.
Background Despite improvements in outcomes of ST elevation myocardialinfarction (STEMI), ventricular septal rupture (VSR) remains a known complication, carrying high mortality. Methods The National Inpatient Sample database (2009–2020) was used to study trends in admissions and outcomes of post-STEMI VSR over time.
Myocardialinfarction (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.
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%
It is now well known that even if a coronaryartery is opened well after a myocardialinfarction, with good flow in the epicardial coronaryarteries, there could be impaired myocardial perfusion. Transit time is measured by saline bolus injection using a thermodilution technique. Banning, William F.
High-quality, contemporary, multicenter data regarding clinical outcomes after PCI is scarce and poses a barrier to clinical decision-making for surgically ineligible patients. CONCLUSIONS:Ineligibility for surgical revascularization was associated with increased risk of long-term mortality after PCI.
Introduction The presence of non-coronary atherosclerosis (NCA) in patients with coronaryarterydisease is associated with a poor prognosis. We have studied whether NCA is also a predictor of poorer outcomes in patients undergoing coronaryartery bypass grafting (CABG). vs. 9%, p < 0.001).
Smith Center for Outcomes Research in Cardiology and section chief of Interventional Cardiology at BIDMC. Even with advances in stent technology, patients with coronary in-stent restenosis continue to comprise approximately 10 percent of individuals undergoing angioplasty interventions each year. and Susan F. percent). “The
An increasing number of studies have shown the impact of social determinants of health (SDoHs) on different cardiovascular outcomes. In the setting of arrhythmias, specific SDoHs can increase the incidence of atrial fibrillation and adversely affect major outcomes in these patients.
Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2 1,2 ASCVD causes or contributes to conditions that include coronaryarterydisease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3
Background Despite advances in percutaneous coronary intervention (PCI) for ST segment elevation myocardialinfarction (STEMI), in-hospital mortality remains a concern, highlighting the need for the identification of additional risk factors such as serum iron levels.
Background There is mounting data supporting the use of drug-coated balloons (DCB) not only for treatment of in-stent restenosis (ISR), but also in native coronaryarterydisease. Angiograms and outcomes were independently adjudicated. So far, paclitaxel-coated balloons represented the mainstay DCBs. IQR 12; 14.2)
were found to have obstructive coronaryarterydisease (CAD). of cases, CAG findings resulted in myocardial revascularization. Posttransplant MACE has a negative effect on grafts and patient outcomes. Asymptomatic obstructive CAD was observed in 70.2% Conclusion Asymptomatic CVD is largely prevalent in KTR.
BACKGROUND:Diabetes may be associated with differential outcomes in patients undergoing left main coronary revascularization with percutaneous coronary intervention (PCI) or coronaryartery bypass grafting (CABG). Circulation, Ahead of Print. PintHR=0.87) diabetes.
Aim Acute injury and subsequent remodelling responses to ST-segment elevation myocardialinfarction (STEMI) are major determinants of clinical outcome. Current imaging and plasma biomarkers provide delayed readouts of myocardial injury and recovery.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. The primary and secondary economic outcomes were total costs at 12 months and at 45 days, respectively, from the US health care system perspective.
FAME study showed that at one year follow up, rate of major adverse coronary events was reduced by approximately 30% by routinely measuring FFR. Routine FFR measurement probably lead to more judicious use of stents and improved outcomes. They had lower rates of mortality or myocardialinfarction. Cut off FFR was 0.8
The primary end point was target vessel failure defined as a composite of cardiac death, target vessel–related myocardialinfarction, or clinically driven target vessel revascularization.Results:At a median follow-up of 2.1 years (interquartile range 1.1 versus 25.1%; hazard ratio, 0.31 [95% CI, 0.13–0.76];P=0.010). 0.76];P=0.010).
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