Current and Future Applications of Coronary CT Angiography with and Without FFR in the Emergency Room
AbstractPurpose of ReviewMultiple clinical trials have established the value of Coronary CT angiography (CCTA) for the evaluation of patients presenting to the ED with chest pain and a low to intermediate risk for acute coronary syndrome (ACS). CCTA can be used to evaluate these patients rapidly, effectively, and with relatively low cost and radiation dose.Recent FindingsNew research continues to accumulate, and despite much evidence to support its use in the ED setting, at least one recently published study has presented potentially contradictory results. Additionally, newer techniques that enhance the utility of CCTA, such as fractional flow reserve (FFR) and CT perfusion analysis have been developed and are becoming increasingly available. These applications provide important information about the hemodynamic significance of coronary lesions and are potentially useful in the ED setting to aid clinical decision making.SummaryThis review provides an update on the literature related to the use of CCTA in the ED, including a discussion of emerging advanced cardiac CT applications.
Publication date: Available online 17 September 2019Source: Sport Management ReviewAuthor(s): Bradley J. Baker, James Du, Mikihiro Sato, Daniel C. FunkAbstractThe Psychological Continuum Model (PCM) represents a theoretical framework in sport management to understand why and how consumer attitudes form and change. Prior researchers developed an algorithmic staging procedure using psychological involvement to operationalize the PCM framework within sport and recreational contexts. Although this staging procedure is pragmatically sound, it rests upon a procedure that, while intuitively sensible, lacks scientific rigor. The c...
Publication date: Available online 16 September 2019Source: Journal of Science and Medicine in SportAuthor(s): Fabian Garcia-Byrne, Jonathan D. Buckley, Chris Bishop, Stephen Schwerdt, John Porter, David Bailey, Thomas P. WycherleyAbstractObjectiveTo quantify the external and internal workloads of women’s Twenty–Twenty (T20) cricket and compare match demands between International, National and Youth level cricket players.DesignA retrospective analysis of data collected form T20 matches played by Australian teams (International level, n = 3; National level, n = 12; Youth level, n&thin...
We report the case of a 50-year-old man diagnosed with EDS IV detected incidentally after haemothorax secondary to a coughing spell.ResumenEl síndrome de Ehlers-Danlos de tipo vascular (SED IV) se trata de una rara alteración genética causada por una alteración del gen COL3A1 que codifica el colágeno tipo III. Este es el tipo de colágeno más frecuente en los vasos de mediano calibre y en algunos órganos como intestino y útero. Su alteración produce, entre otros, aneurismas y roturas de vasos y órganos. Para su diagnóstico se requiere de un ...
Publication date: Available online 17 September 2019Source: Reumatología Clínica (English Edition)Author(s): Carola Baliu-Piqué, Elena Nogués-Antich, Marta Cucurell-Palomas, Dolors Grados
Publication date: Available online 16 September 2019Source: The Lancet Respiratory MedicineAuthor(s): Bryant Furlow
We report on the use of a rhomboid flap for partial closure of a tracheal stoma. The rhomboid flap is a local flap that is frequently used by plastic surgeons because of its broad applications and not being very invasive. This is a low invasive and simple technique for partial closure of an excessively enlarged stoma.
Authors: Pitsios C, Vasiliadis A, Karakatsanis KP, Matzaras R, Minasidis T, Nteveros A, Samanis G, Nikolopoulos G PMID: 31523943 [PubMed - in process]
ConclusionsTFA was determined to be a theranostic agent for chemical ablation of solid tissue. Ablation was both efficacious and imageable in ex vivo healthy tissue, even at low concentrations or with high temporal resolution.
Publication date: Available online 16 September 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Federico Collettini, Martin Jonczyk, Aymen Meddeb, Gero Wieners, Dominik Geisel, Dirk Schnapauff, Bernhard GebauerAbstractPurposeTo evaluate feasibility and safety of combined irinotecan chemoembolization and CT-guided high-dose-rate brachytherapy (HDRBT) in patients with unresectable colorectal liver metastases> 3 cm in diameter.Materials and MethodsThis prospective study included 23 patients (age, 70 y ± 11.3; 16 men) with 47 liver metastases (size, 62 mm ± 18.7). Catheter-related advers...
ConclusionsAdjustment of the cfPWV value may be necessary for a more accurate distinction between lower and higher risk group of patients for white matter microstructural injury related to arterial stiffness. Targeting the highest risk group for prevention methods may, in turn, help preserve brain health and cognitive functions.
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