Mon.Nov 20, 2023

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Impact of the COVID-19 pandemic on acute coronary syndrome hospital admission and management in Slovenia

Open Heart

Aims We evaluated the effects of the COVID-19 pandemic on hospital admission and quality of care for acute coronary syndrome. Methods and results Data for all patients admitted to hospital care for acute coronary syndromes in Slovenia (nationwide cohort) between 2014 and 2021 were obtained by merging the national hospital database, national medicines reimbursement database and population mortality registry using unique identifying numbers.

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The effect of gender on clinical outcomes following routine revascularizations with polymer-free sirolimus-eluting stents

Coronary Artery Disease Journal

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. The purpose of this report is to use propensity score matching to determine gender-specific differences in clinical outcomes after percutaneous coronary interventions with polymer-free sirolimus-coated stents.

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The association between COVID-19 infection and incident atrial fibrillation: results from a retrospective cohort study using a large US commercial insurance database

Open Heart

Background We sought to examine a 1-year incidence of atrial fibrillation (AF) among patients with SARS-CoV-2 virus (COVID-19) in comparison to those with non-COVID-19 acute upper respiratory infection (AURI). Methods Patients with a diagnosis of COVID-19 (in any setting) between April 2020 and June 2021 were identified in Optum Clinformatics. Two comparator cohorts were constructed: an ‘AURI pandemic’ cohort (AURI diagnosis between April 2020 and June 2021) and an ‘AURI prepan

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Unlocking Precision in Interventional Cardiology: The Vital Role of OCT and IVUS

ADN Center of Excellence

In the realm of interventional cardiology, the quest for precision is an ongoing pursuit. As technologies advance and methodologies evolve, two crucial tools stand out for their pivotal roles in enhancing accuracy and efficacy: Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS). Understanding the Intricacies OCT and IVUS serve as critical imaging techniques, offering a detailed view inside coronary arteries during procedures.

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Sinus Bradycardia and More

ECG Guru

Let's analyze the ECG. It comes from a pacemaker patient whose pacemaker was briefly switched to VVI at 30 bpm due to a stimulation threshold test. The first 3 beats show a sinus rhythm with a frequency of approx. 40 bpm. This is followed by a premature ventricular contraction (PVC). The P wave of the next sinus node beat lands exactly on the T of the PVC.

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Unlocking Precision in Interventional Cardiology: The Vital Role of OCT and IVUS

ADN Center of Excellence

In the realm of interventional cardiology, the quest for precision is an ongoing pursuit. As technologies advance and methodologies evolve, two crucial tools stand out for their pivotal roles in enhancing accuracy and efficacy: Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS). Understanding the Intricacies OCT and IVUS serve as critical imaging techniques, offering a detailed view inside coronary arteries during procedures.

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Brain hemorrhage cause other than injured blood vessels

Science Daily - Stroke

A new study has revealed a new culprit in the formation of brain hemorrhages that does not involve injury to the blood vessels, as previously believed. Researchers discovered that interactions between aged red blood cells and brain capillaries can lead to cerebral microbleeds, offering deeper insights into how they occur and identifying potential new therapeutic targets for treatment and prevention.

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Challenges and Future Directions in Redo Aortic Valve Reintervention After Transcatheter Aortic Valve Replacement Failure

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e012966, November 1, 2023. Transcatheter aortic valve replacement (TAVR) is increasingly being performed in younger and lower surgical risk patients. Reintervention for failed transcatheter heart valves will likely increase in the future as younger patients are expected to outlive the initial bioprosthesis.

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Prevalence of Pericardial Late Gadolinium Enhancement in Patients After Cardiac Surgery: Clinical and Histological Correlations

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e015606, November 1, 2023. BACKGROUND:Pericardial late gadolinium enhancement (LGE) is usually associated with active pericarditis, but it is not infrequently found in patients after cardiac surgery even a long time after the intervention. The clinical relevance of this finding and its histological correlates are unknown.

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Feasibility of Redo-Transcatheter Aortic Valve Replacement in Sapien Valves Based on In Vivo Computed Tomography Assessment

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013497, November 1, 2023. BACKGROUND:Our aim was to assess the feasibility of repeat transcatheter aortic valve (TAV) replacement for degenerated Sapien3 (S3) prostheses by simulating subsequent implantation of S3 or Evolut, using in vivo computed tomography–based sizing and the impact on coronary and patient-prosthesis mismatch risks.METHODS:Computed tomography scans from 356 patients with prior S3 TAV replacement implantati

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Remnant Cholesterol in Young Adulthood Is Associated With Left Ventricular Remodeling and Dysfunction in Middle Age: The CARDIA Study

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e015589, November 1, 2023. BACKGROUND:Recent studies have shown that remnant cholesterol (RC) is associated with incident heart failure; however, its association with left ventricular (LV) structure and function is unclear. We aimed to evaluate the association between RC levels in young adulthood and LV structure and function in middle age.METHODS:We included 3321 participants from the CARDIA study (Coronary Artery Risk Development

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Feasibility of Coronary Access Following Redo-TAVR for Evolut Failure: A Computed Tomography Simulation Study

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013238, November 1, 2023. BACKGROUND:Coronary accessibility following redo–transcatheter aortic valve replacement (redo-TAVR) is increasingly important, particularly in younger low-risk patients. This study aimed to predict coronary accessibility after simulated Sapien-3 balloon-expandable valve implantation within an Evolut supra-annular, self-expanding valve using pre-TAVR computed tomography (CT) imaging.METHODS:A total of

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Coronary Computed Tomography Angiography Versus Invasive Coronary Angiography in Stable Chest Pain: A Meta-Analysis of Randomized Controlled Trials

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e015800, November 1, 2023. BACKGROUND:The efficacy of coronary computed tomography angiography (CCTA) versus invasive coronary angiography (ICA) among patients with stable chest pain has been studied in several trials with conflicting results.METHODS:We performed a systematic review and meta-analysis comparing CCTA first versus direct ICA among patients with stable chest pain, who were initially referred to ICA.

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Redo Transcatheter Aortic Valve Implantation in the Lotus Mechanically Expanded Transcatheter Heart Valve: Bench-Top Analysis, Clinical Experience, and Procedural Guidance

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013296, November 1, 2023. BACKGROUND:Redo transcatheter aortic valve implantation (TAVI) is increasing as patients outlive their transcatheter heart valves (THVs) and present with bioprosthetic valve failure. The Lotus mechanically expanded THV has unique design characteristics, which have specific implications for Redo TAVI.METHODS:The design features of the Lotus valve and their relevance to Redo TAVI were reviewed.

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Flu vaccine linked to 26% lower heart attack risk, 33% reduction in deaths

Becker's Hospital Review - Cardiology

Getting a flu vaccination may lower the risk of heart attack by 26% and the risk of cardiovascular deaths by 33%, according to a new meta-analysis published Nov. 19 in Scientific Reports.

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Retraction and Replacement of: Provider Care Team Segregation and Operative Mortality Following Coronary Artery Bypass Grafting

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e000125, November 1, 2023.

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Incorporating Redo-TAVR Feasibility Into Lifelong Aortic Valve Management

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013571, November 1, 2023.

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Better: Reflections on Retraction and Republication in Science

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010579, November 1, 2023.

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CT Simulation for Redo-TAVR: Can We Predict Future Coronary Access?

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013572, November 1, 2023.

TAVR 40
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Pericardial Late Gadolinium Enhancement After Cardiac Surgery: Defining Disease Begins With Understanding Normal

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e016131, November 1, 2023.

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Valve-in-Valve Transcatheter Aortic Valve Replacement Following 2 Surgical Aortic Valve Replacements

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013305, November 1, 2023.

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Remnant Cholesterol—A Novel Risk Marker for Left Ventricular Remodeling and Dysfunction

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e016110, November 1, 2023.

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Laser Coronary Atherectomy and Polymeric Coronary Wires in Uncrossable Lesions: A Word of Caution

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print.

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In This Issue of the Journal

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e016269, November 1, 2023.

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Organizational Update From the Asia Pacific Stroke Organization

Stroke Journal

Stroke, Ahead of Print.

Stroke 40
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High-Sensitivity Cardiac Troponin I Enhances Preeclampsia Prediction Beyond Maternal Factors and the sFlt-1/PlGF Ratio

Circulation

Circulation, Ahead of Print. BACKGROUND:Preeclampsia shares numerous risk factors with cardiovascular diseases. Here, we aimed to assess the potential utility of high-sensitivity cardiac troponin I (hs-cTnI) values during pregnancy in predicting preeclampsia occurrence.METHODS:This study measured hs-cTnI levels in 3721 blood samples of 2245 pregnant women from 4 international, prospective cohorts.

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Correction to: Abstract P804: Lopsided Blood-Thinning Drug Increases the Risk of Internal Flow Choking and Shock Wave Generation Causing Asymptomatic Stroke

Stroke Journal

Stroke, Ahead of Print.

Stroke 40
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Importance of Medical Management in Patients With Aneurysmal Subarachnoid Hemorrhage

Stroke Journal

Stroke, Ahead of Print.