Same day discharge for peripheral arterial procedures in elderly – study in CCI

(Peripheral angioplasty – representative image) Same day discharge after peripheral arterial procedures have been documented to be safe in younger individuals. Now a new study published early online in Catheter and Cardiovascular Interventions [1] has shown that it can be applied in elderly individuals above 70 years as well. The obvious advantage in elderly individuals is that it avoids the risk of delirium, which is common in elderly and demented individuals after night stay in intensive care units. The peripheral arterial procedures performed where balloon angioplasty, atherectomy and stenting. The study collected data on 477 consecutive patients. There were no deaths, target lesion revascularization, myocardial infarction stroke or increase in serum creatinine in these selected patients after same day discharge. Several factors where considered before deciding on same day discharge: Procedures completed by midday, suitability for discharge within 3-5 hours, staying locally with a companion, easy phone access and absence of acute psychiatric conditions or delirium. They had 24/7 phone access to a nursing staff and a doctor on call when indicated. Care plan in case of any complication was detailed prior to discharge. If there was no complications, they returned next day for follow up. Reference Janus A et al. Safety and feasibility of same-day early discharge after endovascular revascularization of lower extremities in elderly. SENIOR-ER registry....
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Angiography and Interventions Cardiology Peripheral Interventions atherectomy and stenting balloon angioplasty Source Type: blogs

Related Links:

We present a unique case of an anterior ST elevation myocardial infarction as a result of coronary embolism, the source of which appears to be calcific debris from mitral annular calcification (MAC). Although embolic phenomena in the setting of MAC has been documented previously, particularly in the setting of acute ischemic stroke, to our knowledge this is the first reported case in the literature where MAC alone appears to have resulted in a coronary embolic event.
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
ConclusionsDouble bolus reteplase given with heparin is effective in the treatment of high, intermediate risk pulmonary embolism with minimal risk of bleeding.
Source: Indian Heart Journal - Category: Cardiology Source Type: research
Title: AHA News: These Diets Helped Women With Diabetes Cut Heart Attack, Stroke RiskCategory: Health NewsCreated: 9/19/2019 12:00:00 AMLast Editorial Review: 9/20/2019 12:00:00 AM
Source: MedicineNet Diabetes General - Category: Endocrinology Source Type: news
Int J Angiol DOI: 10.1055/s-0039-1695049Myocardial infarction (MI) is one of the leading causes of mortality today both in developed and developing countries alike. Advancement in the pharmacotherapy and revascularization techniques has resulted in drastic improvement in survival. Most of the complications of MI can be managed adequately resulting in reduced mortality from MI in the recent years. However, mortality from stroke following acute MI remains high even today. Here, we discuss the incidence, risk factors, and management of stroke following acute ST elevation MI. [...] Thieme Medical Publishers 333 Seventh Avenue,...
Source: International Journal of Angiology - Category: Cardiology Authors: Tags: Review Article Source Type: research
SummaryDespite the prognostic significance of severe aortic valve stenosis, knowledge is limited in the general population. To document the status quo for Austria, knowledge about valvular heart disease/aortic valve stenosis was documented in 1001 participants>60  years of age. 6.7% of respondents were knowledgeable of aortic valve stenosis, with 1.6% being concerned about the condition (24.1% cancer, 18.8% Alzheimer’s disease, 15.1% stroke). 29.5% were familiar with valvular heart disease (76.7% heart attack, 36.9% stroke). Only 1/3 reported auscultatio n by their general practitioner (GP) at least ever...
Source: Wiener Medizinische Wochenschrift - Category: General Medicine Source Type: research
Abstract The modern way of life contributes to the higher frequency of a complex state medically called metabolic syndrome (MetS), which is an inevitable consequence of several most common diseases of modern civilization. Patients with MetS have three times higher risk of experiencing a heart attack or a stroke and twice higher possibility to die from them. Serbia holds the infamous third place in Europe in mortality from heart disease, just behind Russia and Ukraine. The study explores the correlation of every combination of genotypes of apoE (apolipoprotein E) and LRP1 (low density receptor- related protein 1) g...
Source: Molecular Biology Reports - Category: Molecular Biology Authors: Tags: Mol Biol Rep Source Type: research
Reperfusion injury follows ischemia/reperfusion events occurring during myocardial infarction, stroke, embolism, and other peripheral vascular diseases. Decreased blood flow and reduced oxygen tension during ischemic episodes activate cellular pathways that upregulate pro-inflammatory signaling and promote oxidant generation. Reperfusion after ischemia recruits inflammatory cells to the vascular wall, further exacerbating oxidant production and ultimately resulting in cell death, tissue injury, and organ dysfunction. Diving mammals tolerate repetitive episodes of peripheral ischemia/reperfusion as part of the cardiovascula...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
THURSDAY, Sept. 19, 2019 (American Heart Association News) -- Eating patterns similar to the Mediterranean diet and the blood pressure-lowering DASH may help older women with Type 2 diabetes ward off heart attacks, strokes and related problems, new...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
ConclusionCRS is associated with an increased incidence of asthma, AMI, stroke, anxiety disorder, and depression. Therefore, we suggest that clinicians should monitor CRS patients carefully, and optimize management as a means to potentially decrease these other associated comorbid conditions.
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research
Authors: Iyer KS, Dayal S Abstract Platelets are small, anucleated effector cells that play an important role in linking the hemostatic and inflammatory processes in the body. Platelet function is known to be altered under various inflammatory conditions including aging. A gain in platelet function during aging can increase the risk of thrombotic events, such as stroke and acute myocardial infarction. Anti-platelet therapy is designed to reduce risk of serious cerebrovascular and cardiovascular events, but the adverse consequences of therapy, such as risk for bleeding increases with aging as well. Age-associated co...
Source: Platelets - Category: Hematology Tags: Platelets Source Type: research
More News: Angiography | Angioplasty | Baloon Angioplasty | Cardiology | Cardiovascular | Heart | Heart Attack | Intensive Care | Nurses | Nursing | Peripheral Angioplasty | Psychiatry | Stroke | Study