Open Heart

JUNE 18, 2024

Background For high bleeding-risk patients (HBR) undergoing percutaneous coronary intervention (PCI), the LEADERS FREE (LF) and LEADERS FREE II (LF II) trials established the safety and efficacy of a stainless steel polymer-free biolimus-coated stent (SS-BCS) with 30 days of dual antiplatelet treatment (DAPT).

Stent 40

Stent Stents Outcomes Myocardial Infarction 40

Circulation

OCTOBER 24, 2023

Background:Stopping aspirin within 1 month after implantation of a drug-eluting stent (DES) for ticagrelor monotherapy has not been exclusively evaluated for patients with acute coronary syndrome (ACS). Circulation, Ahead of Print. 0.80];P<0.001 for noninferiority;P=0.002 for superiority). versus 3.4%; HR, 0.35 [95% CI, 0.20–0.61];P<0.001).Conclusions:This

Stent 40

Stent Stents Myocardial Infarction Thrombosis 40

Circulation

NOVEMBER 11, 2024

vs 13.6%), any stent thrombosis (RR=1.42; 95% CI [0.35, 5.72]; p=0.62; 2.2% vs 13.6%), any stent thrombosis (RR=1.42; 95% CI [0.35, 5.72]; p=0.62; 2.2% However, FFR-guided CR showed no beneficial effect on all-cause mortality, stroke, major bleeding and myocardial infarction.

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction STEMI Thrombosis 40

Heart BMJ

AUGUST 14, 2024

Previous medical interventions included a spectrum of procedures, including catheter-directed thrombectomy for popliteal artery aneurysms with thrombosis, vascular bypass grafting for cerebral-anterior communicating artery aneurysms and arch replacement and stent implantation for aortic dissecting aneurysms.

Aneurysm 52

Aneurysm Chest Pain Myocardial Infarction Thrombosis 52

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Anaphylaxis leads to plaque rupture or erosion leading to acute myocardial infarction (type II) and acute coronary stent thrombosis (type III). Here we share a case of Kounis syndrome type I caused by an allergy caused by a Cryptopteran bite.

Coronary Artery Disease 64

Coronary Artery Disease Electrocardiogram Myocardial Infarction Thrombosis 64

Circulation: Cardiovascular Interventions

MARCH 30, 2025

Endpoints included major adverse cardiovascular events (MACE), cardiac death, myocardial infarction (MI), periprocedural MI, all-cause mortality, stent thrombosis (definite or probable), and target vessel revascularization (TVR). 0.84; p<0.001), cardiac death (RR 0.43; 95%CI 0.24-0.76;

Thrombosis 40

Thrombosis Myocardial Infarction Stent Stents 40

Coronary Artery Disease Journal

MARCH 7, 2024

Background Untreated multivessel disease (MVD) in acute myocardial infarction (AMI) has been linked to a higher risk of recurrent ischemia and death within one year. Similarly, all-cause mortality, cardiovascular mortality, stent thrombosis, and acute renal insufficiency did not show significant differences between two groups.

Myocardial Infarction 40

Myocardial Infarction Ischemia Thrombosis Stents 40

Circulation

NOVEMBER 23, 2023

3.30]) and subacute definite or probable stent thrombosis (0.58% and 0.17%; hazard ratio, 3.40 [95% CI, 1.26–9.23]) years; men, 76.6%; acute coronary syndrome, 75.0%). There was no difference in net adverse clinical outcomes and each component of coprimary cardiovascular end point.

Stent 40

Stent Stents Thrombosis Myocardial Infarction 40

CardiacWire

MARCH 2, 2024

The United States has been way behind other nations in using drug-coated balloons (DCB) to treat coronary in-stent restenosis (ISR), but that’s about to change thanks to the FDA approval of Boston Scientific’s AGENT Drug-Coated Balloon. vs. 24.0%) Target vessel myocardial infarction (6.4% vs 12.3%) Stent thrombosis (0.0%

Angioplasty 59

Angioplasty Stent Stents Myocardial Infarction 59

All About Cardiovascular System and Disorders

APRIL 21, 2024

If the FFR normalizes after stenting, the restenosis rates at six months is less than 5%. Since the FFR wire can be used for guiding balloon catheters and stents, it is easy to make post procedure measurements without any additional effort. Routine FFR measurement probably lead to more judicious use of stents and improved outcomes.

Myocardial Infarction 52

Myocardial Infarction Stent Stents Coronary Artery Disease 52

Stroke: Vascular and Interventional Neurology

OCTOBER 2, 2023

BackgroundProcedural intravenous cangrelor has been proposed as an effective platelet inhibition strategy for stenting in acute ischemic stroke. Safety outcomes included rates of symptomatic intracranial hemorrhage, parenchymal hematoma type 2, petechial hemorrhage, and in‐stent thrombosis. 3.28];P=0.836). versus 0%;P=0.911).ConclusionCangrelor

Hemorrhage 40

Hemorrhage Thrombosis Stent Stents 40

Open Heart

DECEMBER 29, 2022

There was also no difference in the rate of bleeding between PFT-guided and standard therapies (major bleeding: RR=0.97, p=0.78, minor bleeding: RR=0.89, p=0.19 and any bleeding: RR=1.04, p=0.33).

Myocardial Infarction 52

Myocardial Infarction Thrombosis Stents Stent 52

Cardiology Update

FEBRUARY 14, 2024

In the early years of percutaneous coronary intervention (PCI), studies indicated a heightened risk of major adverse cardiac events (MACE) in patients with reduced left ventricular ejection fraction (LVEF), involving outcomes such as death, Q-wave myocardial infarction (MI), stent thrombosis, and repeat revascularization.

Myocardial Infarction 52

Myocardial Infarction Coronary Artery Disease Thrombosis Research 52

The British Journal of Cardiology

NOVEMBER 10, 2023

The near-immediate or instant feedback learning process by which the heart responds to any new invasive procedural variation facilitates each new change; be it drug-eluting stent, drug-coated balloon, or both in different combinations and permutations.

Stent 40

Stent Stents Coronary Artery Disease Myocardial Infarction 40

Journal of Cardiovascular Pharmacology

MAY 2, 2024

The primary outcome was major adverse cardiac and cerebrovascular event (MACCE), namely a composite of death from cardiovascular causes, myocardial infarction (MI), stroke, stent thrombosis within 12 month. Patient characteristics and clinical outcomes were collected via electronic medical record system.

Outcomes 40

Outcomes Myocardial Infarction Thrombosis Academic 40

Open Heart

APRIL 15, 2022

Prasugrel ranked as the most efficient treatment in the composite cardiovascular efficacy outcome, all-cause death, myocardial infarction and definite stent thrombosis, while clopidogrel ranked as safest in the bleeding outcomes. Inconsistency was moderate and non-significant (I 2 =27%, total Q p=0.2).

Myocardial Infarction 52

Myocardial Infarction Thrombosis Stents Stent 52

Coronary Artery Disease Journal

AUGUST 22, 2024

Data were extracted from published reports and quality assessment was performed per Cochrane recommendations.

Myocardial Infarction 40

Myocardial Infarction Thrombosis Stents Stent 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

Consequences of reocclusion after successful reperfusion therapy in acute myocardial infarction. It is important to recognize that coronary thrombosis is dynamic , with spontaneous opening and lysing of the thrombus in the infarct-related artery (we all have endogenous tPA and plasmin to lyse thrombi). It was stented.

Chest Pain 52

Chest Pain Thrombosis Myocardial Infarction STEMI 52

Journal of Cardiovascular Pharmacology

NOVEMBER 6, 2023

Primary endpoint of systematic review and meta-analysis is the NACE (Net Adverse Cardiac Events) and secondary are MACE (Major Adverse Cardiac Events), mortality, bleedings, myocardial infarction and stent thrombosis. A total of eight studies and 12,665 patients were included in our analysis.

Diabetes 40

Diabetes Myocardial Infarction Thrombosis Stents 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. A New ST-segment elevation myocardial infarction equivalent pattern? An Impella was placed for cardiac output augmentation.

Chest Pain 83

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Cardiology Update

APRIL 9, 2024

EMPACT-MI 1 ( NCT04509674 ) studied the effects of empagliflozin in patients who have experienced myocardial infarction (MI). The primary non-inferiority endpoint was MACCE (a composite of cardiac death, MI, ischaemic stroke, stent thrombosis, or target vessel revascularisation). in the medical therapy group. Atlanta, GA.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

Dr. Smith's ECG Blog

MARCH 13, 2023

Repeat ECG while waiting for cath team, t = 56 min after arrival: It is getting worse Angiogram showed 99% acute proximal LAD thrombosis. It was opened and stented. The Cath lab was activated. Peak trop ＞ 50,000 ng/L Formal Bubble contrast echo Severe LV systolic dysfunction.

Chest Pain 52

Chest Pain Myocardial Infarction Angioplasty Thrombosis 52

EMS 12-Lead

JUNE 20, 2022

Although the attending crews did not consider the ECG pathognomonic for occlusive thrombosis, they nonetheless considered the patient high-risk for ACS and implored him to reconsider. He was rushed to the Cath Lab where an LAD culprit lesion was stented. Here is the LAD after stent placement. References 1] Smith, S.

STEMI 52

STEMI Stents Stent Myocardial Infarction 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

It was thought to be an in stent restenosis and thrombosis from a DES placed in the same region 6 months prior. Acute myocardial infarction in patients with dialysis Patients on dialysis have a well studied history of underdiagnosis and undertreatment for acute myocardial infarction. What can we learn?

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52

EMS 12-Lead

MAY 20, 2022

A mid-LAD culprit lesion was identified and stented. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. References Naidu, S. American College of Cardiology.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

Background Stent thrombosis (ST) is an uncommon but serious complication of stent implantation. Methods The analysis included patients who received stent placement for the index acute coronary syndrome (ACS). drug-eluting stent (DES) vs. bare-metal stent (BMS) and anticoagulant with rivaroxaban vs. placebo].

Stent 64

Stent Stents Thrombosis Myocardial Infarction 64

Frontiers in Cardiovascular Medicine

MARCH 30, 2025

IntroductionThe simultaneous occurrence of acute myocardial infarction (AMI) and venous thromboembolism (VTE) is rare and often associated with underlying malignancies. Subsequent investigations revealed pulmonary embolism, deep vein thrombosis, and imaging findings suggestive of pancreatic cancer.

Myocardial Infarction 52

Myocardial Infarction Embolism Cancer Pulmonary 52

Frontiers in Cardiovascular Medicine

NOVEMBER 28, 2024

We included major adverse cardiovascular events (MACE), myocardial infarction (MI), cardiac death and other outcome indicators. ConclusionsCompared with the non-IVUS-guided group, IVUS-guided stent implantation may be more effective for patients with complex CAD.Systematic Review RegistrationPROSPERO [CRD42024531366].

Stent 59

Stent Stents Coronary Artery Disease Myocardial Infarction 59

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

History of diabetes type II and stent placement in 2018. Let's see how the PMCardio Queen of Hearts AI Model performs: "Acute Occlusive Myocardial Infarction" She gave this a score of 1.0 (100% This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. What do you think?

Academic 126

Academic Stents Stent Thrombosis 126

Frontiers in Cardiovascular Medicine

JANUARY 6, 2025

In group II, circulating heparin was neutralized with a half dose of protamine sulfate, and the brachial sheath was removed immediately after the procedure.ResultsThere were no cases of acute stent thrombosis, nonfatal myocardial infarction or in-hospital mortality in either group.

Myocardial Infarction 52

Myocardial Infarction Thrombosis Stents Stent 52

Dr. Smith's ECG Blog

MARCH 8, 2025

After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all. SanzRuiz, R., Solis, J., &

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75