Revascularization Strategies in Patients With STEMI: Culprit-Only vs Multivessel Revascularization Using Percutaneous Coronary Intervention.
Revascularization Strategies in Patients With STEMI: Culprit-Only vs Multivessel Revascularization Using Percutaneous Coronary Intervention. J Invasive Cardiol. 2019 Jul 15;: Authors: Alsadat N, Hyun K, D'Souza M, Chew D, Weaver J, Juergens C, Kritharides L, Hammett C, Brieger D Abstract BACKGROUND: Approximately 50% of patients undergoing primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) have multivessel coronary disease (MVD). Evidence on the best PCI approach for these patients is conflicting. The aim of this study is to examine Australian data from the CONCORDANCE registry to describe the practice and outcomes of patients receiving multivessel vs culprit-only PCI. METHODS: Two cohorts were constructed from MVD-STEMI patients undergoing primary PCI at 41 hospitals between 2009 and 2015: culprit-only PCI (n = 587; 87%) and multivessel PCI (n = 82; 12%). Clinical characteristics were described, and the outcomes were all-cause mortality, heart failure, and myocardial reinfarction, in-hospital and at 6-month follow-up. The relative prevalence of each procedure over time was also described. RESULTS: The patient cohorts were comparable in age, sex, and cardiovascular risk factors. Patients with higher Killip scores were more likely to receive multivessel PCI (P=.02). The multivessel group was significantly more likely to have in-hospital cardiogenic shock (P
CONCLUSIONS: This study demonstrated that CSR and CSS were not statistically different when determined with different predictive trials located within the recommended durations of 2-12 min. Nevertheless, CSR200-800 and CSS200-800 exhibited the best consistency with CSR200-400-800 and CSS200-400-800, respectively. PMID: 32614153 [PubMed - as supplied by publisher]
INTRODUCTION: Post-traumatic stress disorder (PTSD) is a severe and debilitating condition affecting a significant proportion of the veteran community. A substantial number of veterans with PTSD fail to benefit from trauma-focused psychological therapies o...
Publication date: 2020Source: NeuroImage: Clinical, Volume 27Author(s): Eva Niessen, Jana M. Ant, Stefan Bode, Jochen Saliger, Hans Karbe, Gereon R. Fink, Jutta Stahl, Peter H. Weiss
Conclusions: Consumers have under-recognized perceptions of harm from OA and AHS use, particularly withdrawal and misuse. Resources based on real world consumer concerns can encourage open dialogue between patients and their prescribers. PMID: 32613881 [PubMed - as supplied by publisher]
How would you do this case and what is your reasoning? 82 year old female comes to the Emergency department after fall and broke her hip, with history of HTN, DM, A fib on noac, Heart failure Can slowly walk around prior to fall. Sleeps with multiple pillows at night Procedure: hip replacement (per surgeon, case would take around 5 hours of surgical time) EKG: A fib with PVCs, bundle branch block TTE: RV dysfunction with severe dilation, severe TR with complete non coaptation of TR (2.2cm... Different case
Authors: Kishimoto Y, Saita E, Taguchi C, Aoyama M, Ikegami Y, Ohmori R, Kondo K, Momiyama Y Abstract Green tea and coffee contain various bioactive compounds (e.g., polyphenols), and their consumption has been proposed to decrease the risk of cardiovascular diseases. Here, we investigated the associations between the consumption of green tea and that of coffee and the prevalence of coronary artery disease (CAD) in Japanese patients. The study group was 612 patients who underwent coronary angiography at Tokyo Medical Center between July 2008 and February 2017. CAD was confirmed in 388 of the patients: one-vessel di...
Conclusion: To our knowledge, this case is the second report of a left atrial posterior wall thrombus in this setting. The patient's complex and specific set of risk factors likely led to this rare finding. Although left atrial posterior wall thrombus after ablation is rare, in patients with specific risks or a combination of factors that could lead to such a clot, visualizing the left atrium in these patients may be beneficial to minimize the risk of systemic embolization. PMID: 32612478 [PubMed]
For 1 in 4 heart failure patients, 6 months of sacubitril/valsartan was associated with a rise in LVEF to>35%, an observational study shows, raising the question of further need for ICD therapy.Medscape Medical News
Conclusions The tobacco paradox is a finding that could be explained by other prognostic factors. Smoking cessation prior to hospitalization for acute coronary syndrome is associated with a better prognosis.