Magnesium bioresorbable scaffold collapse: a novel restenosis mechanism?
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Images in Coronary Artery Disease Source Type: research

An unusual coexistence presenting with retroaortic anomalous coronary sign: left main coronary artery from the non-coronary sinus and accessory circumflex artery from the right coronary sinus
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Images in Coronary Artery Disease Source Type: research

Concomitant acute myocardial infarction and stress cardiomyopathy
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Images in Coronary Artery Disease Source Type: research

Factors associated with participation in a short-term dietary intervention study among patients with established coronary artery disease: insights from the EVADE CAD trial
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Research Communications Source Type: research

Standard vs. double dose of intravenous nicorandil in preventing contrast-induced nephropathy in patients with coronary heart disease undergoing elective coronary procedures
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Research Communications Source Type: research

Advances in revascularization of the left coronary artery
Ischaemic heart disease is the most common cardiovascular disease worldwide, and it contributes to a significant source of morbidity and mortality internationally. It can be asymptomatic for many years and present suddenly with acute coronary syndrome or can be progressive with angina and eventual acute myocardial infarction. Diseases of the left coronary system can be drastic and fatal if not managed correctly. With ongoing increase in the practice of percutaneous intervention; patient demographics for conventional coronary artery bypass grafting surgery have more risk factors than before. Conventional bypass surgery has ...
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Reviews in Coronary Artery Disease Source Type: research

Safety and efficacy of coronary laser ablation as an adjunctive therapy in percutaneous coronary intervention: a single-centre experience
Conclusions Our preliminary experience reveals the safety and efficacy of the current modality of coronary laser as a coadjuvant therapy in PCI with a low rate of adverse cardiac events in 1-year of follow-up. Further studies are needed to establish more precisely the contribution of laser application in different contexts of coronary artery disease. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Invasive Angiography and Intervention Source Type: research

Prognostic value of SYNTAX score and SYNTAX score II in an ‘all-comers’ population treated with angoplasty
Objectives The SYNTAX score and SYNTAX score II have a high predictive capacity for adverse cardiovascular events. We aimed to demonstrate that both scores were good predictors of long-term adverse outcomes in an ‘all-comers’ population treated with a percutaneous coronary intervention (PCI). Methods In the study, we included 785 patients who received an angioplasty at our center between January 2011 and December 2012. The patients were distributed in tertiles according to the SYNTAX score and SYNTAX score II values; for the SYNTAX score – low ≤6.5 (n = 225); mid&...
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Invasive Angiography and Intervention Source Type: research

Temporal trends in referral patterns for invasive coronary angiography – a multicenter 10-year analysis
Aim To assess the temporal trends in the usage pattern of non-invasive testing before invasive coronary angiography (ICA) and its diagnostic yield in patients with suspected coronary artery disease (CAD). Methods Cross-sectional observational multicenter study of 4805 consecutive patients (60% male, mean age 66 ± 10 years) with suspected CAD undergoing elective ICA due to angina pectoris in two centers, from 2008 to 2017. The use of noninvasive testing and the proportion of patients with obstructive CAD (defined as the presence of at least one ≥50% stenosis on ICA) were assessed. Results There w...
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Invasive Angiography and Intervention Source Type: research

Outcomes in prediabetes vs. diabetes in patients with non-ST-segment elevation myocardial infarction undergoing percutaneous intervention
Conclusion In this study, patients with NSTEMI and MVD who underwent successful implantation of newer-generation DES and were prediabetic had worse outcomes compared to normoglycemics and comparable to those with diabetes. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Myocardial Infarction Source Type: research

Safety and efficacy of intracoronary thrombolytic therapy via a new infusion catheter in patients with ST-segment elevation myocardial infarction with large thrombus burden: a pilot study
Conclusions In patients with STEMI presenting with a large thrombus burden, all patients regained myocardial perfusion immediately after the infusion catheter crossed over the thrombus, and low doses of intracoronary thrombolysis could significantly reduce the thrombus burden and improve the coronary flow without major bleeding. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Myocardial Infarction Source Type: research

Likelihood of myocardial infarction, revascularization and death following catheterization laboratory activation in patients with vs. without both chest pain and ST elevation
Background Emergent cardiac catheterization laboratory activation (CCLA) for patients with suspected ST-elevation myocardial infarction (STEMI) is employed to expedite acute revascularization (AR). The incidence of false-positive CCLA, in which AR is not performed, remains high. The combination of chest pain (CP) and electrocardiographic ST elevation (STE) are the hallmarks of STEMI. However, CCLA is sometimes initiated for patients lacking this combination. The study objective was to quantify the difference in likelihood of AR and mortality in patients with vs. without both CP and STE. Methods Retrospective ana...
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Myocardial Infarction Source Type: research

C-reactive protein-to-serum albumin ratio as a novel predictor of long-term outcomes in coronary artery disease patients who have undergone percutaneous coronary intervention: analysis of a real-world retrospective cohort study
Background C-reactive protein (CRP) has been proposed as a contributor to the pathogenesis of coronary artery disease (CAD) and inflammatory reactions, which are associated with a decrease in serum albumin, and it has been reported that the CRP-to-serum albumin ratio (CAR) can predict CAD severity in inpatient ischemic cardiomyopathy (ICM) patients. However, the relationship between the CAR and long-term adverse outcomes in CAD patients after percutaneous coronary intervention (PCI) is still unknown. Methods A total of 3561 CAD patients enrolled in the Outcomes and Risk Factors of Patients with Coronary Heart Di...
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Biomarkers in Coronary Artery Disease Source Type: research

Appropriate use of multimodality stress testing for chest pain in new patient referrals to cardiologists
Conclusion Most patients referred to cardiologists for evaluation of chest pain or angina had nonanginal chest pain and an intermediate pretest probability of CAD. Stress testing was ordered in about half of these patients and the majority were considered appropriate by AUC. These findings suggest that indiscriminate use of CDSMs may not be warranted. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Imaging of Coronary Disease Source Type: research

Prevalence of noncalcified plaques and coronary artery stenosis in patients with coronary calcium scores of zero
Conclusions In patients with a high clinical suspicion of CAD, the absence of coronary artery calcification does not rule out CAD; up to 6.4% of these patients have early CAD as evidenced by NCP detected by CCTA, and none have more than 50% stenosis, However, future prognostic and long-term follow-up studies are needed to determine prognostic value of NCP in patients with 0 CACS. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - April 16, 2021 Category: Cardiology Tags: Imaging of Coronary Disease Source Type: research

Left ventricle lateral wall calcified aneurysm
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Images in CAD Source Type: research

ST-segment elevation myocardial infarction due to multivessel, multifocal coronary vasospasm
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Images in CAD Source Type: research

Intravascular lithotripsy for the treatment of severe calcific neointimal hyperplasia in a bare metal stent 17 years after implantation
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Images in CAD Source Type: research

Giant unruptured circumflex coronary artery aneurysms presenting as acute coronary syndrome
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Images in CAD Source Type: research

Clopidogrel response in patients receiving the nonvitamin K antagonist oral anticoagulants apixaban and rivaroxaban
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Research Communications Source Type: research

Ticagrelor versus clopidogrel in patients with ST-elevation myocardial infarction: postdischarge mild bleeding and its clinical impacts
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Research Communications Source Type: research

Spontaneous coronary artery dissection: presentation and management options
Coronary artery dissection is a serious, life-threatening heart condition. It can occur spontaneously or due to traumatic or iatrogenic causes. Spontaneous coronary artery dissection (SCAD) is often misdiagnosed as most patients present with symptoms resembling those of an acute coronary syndrome. Clinical sequelae of SCAD include debilitating morbidities such as myocardial infarction, myocardial ischaemia, sudden cardiac death, ventricular arrhythmias amongst many other myocardial ischaemia associated complications. There are two main methods of managing patients with SCAD; conservative management with medical therapy or ...
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: State of the Art Source Type: research

Additional roles of diastolic parameters in the diagnosis of obstructive coronary artery disease
This study was performed to determine the relationships among these four parameters and obstructive coronary artery disease (CAD). Methods The study data were obtained from a nation-wide registry, composed of 1307 patients (age, 60.4 ± 10.8 years; 964 women) with normal LV ejection fraction (LVEF) who underwent invasive coronary angiography in the suspicion of CAD. Septal e´, E/e´, LA dimension (LAd), and TR velocity were assessed by transthoracic echocardiography. Results Compared with patients without obstructive CAD, those with obstructive CAD showed changes in diastolic parameters indic...
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Diagnosis of CAD Source Type: research

Effect of intervention timing on one-year mortality in elderly non–ST-segment elevation myocardial infarction patients
Background The best timing for early invasive therapy in non–ST-segment elevation myocardial infarction (NSTEMI) patients remains controversial. We sought to determine the optimal timing of early catheterization in order to improve long-term outcomes in elderly (>65  years old) patients with NSTEMI. Methods Using data from the CRUSADE registry linked to Medicare claims, we evaluated the association of early catheterization within the first 24  h or earlier time cut-points of NSTEMI presentation with long-term mortality among older Medicare beneficiaries. Results Of 15&...
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Acute Coronary Syndromes Source Type: research

Comparison of plaque distribution and wire-free functional assessment in patients with stable angina and non-ST elevation myocardial infarction: an optical coherence tomography and quantitative flow ratio study
Background Data comparing plaque characteristics and wire-free physiological assessment in the target vessel in patients with stable angina versus acute coronary syndrome are sparse. Therefore, we investigated the difference in plaque distribution between stable angina and non-ST-elevation myocardial infarction (NSTEMI) and explored the relationship between target vessel vulnerability by optical coherence tomography (OCT) and wire-free functional assessment with quantitative flow ratio (QFR). Methods Patients with stable angina (n = 25) and NSTEMI (n = 24) were in the final prospectiv...
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: Acute Coronary Syndromes Source Type: research

The optimal duration of dual antiplatelet therapy in East Asian patients undergoing percutaneous coronary intervention with drug-eluting stents: a meta-analysis of randomized trials
Conclusion The short-term DAPT (≤6 months) might be a better choice for East Asian patients undergoing PCI with DES, especially the newer-generation DES. However, for high-risk patients such as diabetes, the analysis supported the longer DAPT. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: PCI Source Type: research

Clinical and health status outcomes among patients treated with single as compared to multivessel angioplasty during chronic total occlusion percutaneous coronary interventions: a report from the OPEN CTO registry
Background Patients with coronary chronic total occlusions (CTO) often have multivessel coronary artery disease. We utilized the OPEN CTO study to evaluate patients who underwent single-vessel versus multivessel percutaneous coronary intervention (PCI) during CTO PCI. Methods Patients were considered to have undergone single-vessel CTO PCI if they underwent target-vessel only CTO PCI. Patients who underwent multivessel PCI during their index CTO PCI procedure were considered to have undergone multivessel PCI. The additional lesions treated in the multivessel group could be either a separate CTO lesion in a separ...
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: PCI Source Type: research

The association of diabetes mellitus with neointimal formation following deployment of second-generation drug-eluting stents: an optical coherence tomographic study
Conclusion DM leads to significant increase in MNT and neointimal burden even with second-generation DES, nevertheless stent strut coverage, ST and NIH characteristics remained comparable among the cohorts at 1-year. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: PCI Source Type: research

Scoring balloon predilation before bioresorbable vascular scaffold implantation in patients with in-stent restenosis: the RIBS VI ‘scoring’ study
Conclusion This study suggests that results of conventional BVS implantation in patients with ISR are not improved by systematic predilation with SCB. ClinicalTrials.gov ID: NCT02672878 (RIBS VI) and NCT03069066 (RIBS VI ‘Scoring’). (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: PCI Source Type: research

Comparison of coronary angioscopic findings 8 months after stent implantation between two kinds of biodegradable polymer-coated and one durable polymer-coated drug-eluting stent
Conclusions Coronary angioscopic findings revealed that BP-EES, BP-SES, and DP-EES produced similar favorable NIC 8 months after stent implantation. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 7, 2021 Category: Cardiology Tags: PCI Source Type: research

Successful percutaneous treatment of a large arteriovenous fistula between the right coronary artery to main pulmonary artery
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Novel use of coronary artery calcium scoring
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Optical frequency domain imaging-guided stent-less percutaneous coronary intervention using rotational atherectomy to the calcified nodule
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Lipoprotein(a) as a predictor for the presence and severity of premature coronary artery disease: a cross-sectional analysis of 2433 patients
Background Lipoprotein(a) [Lp(a)] has been emerged as a risk factor for coronary artery disease (CAD), but there is currently insufficient data on the relationship between Lp(a) and premature CAD (PCAD). Thus, this study aimed to examine the association between Lp(a) and PCAD in a Chinese cohort. Methods Data on 2433 individuals (male (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Risk Factors Source Type: research

Major acute cardiovascular events in patients with inflammatory bowel disease
Conclusions Among patients with IBD, incidence of acute coronary events did not show a statistically significant difference when compared to the matched cohort. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Risk Factors Source Type: research

Internal mammary artery: the primary conduit for surgical revascularization
Internal mammary artery, by far, is the gold standard and first conduit for surgical revascularization especially when it comes to bypassing a lesion in the left anterior descending coronary artery. Several factors behind using this artery have been established, including but not limited to, the anatomical location, the course and flow, the elastic nature of the artery as well as the physiological characteristics that make this conduit to yield excellent long-term patency rates. This review aims to thoroughly examine current literature and establish the facts behind using this conduit in our daily surgical revascularizatio...
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: CABG Source Type: research

Fragmented QRS complexes are associated with postoperative atrial fibrillation development after coronary artery bypass grafting surgery
Conclusion The presence of fQRS on admission ECG was found to be an independent predictor of PoAF in patients undergoing isolated CABG. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: CABG Source Type: research

Coronary bifurcations treated with thin-strut drug-eluting stents: a prespecified analysis of the randomized BIO-RESORT trial
Conclusions Three years after stenting all-comers with bifurcation lesions, clinical outcome was similar with the sirolimus-eluting and everolimus-eluting stents versus the zotarolimus-eluting stent. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: PCI Source Type: research

Prevalence, predictors, prognostic significance, and effect of techniques on outcomes of coronary lesion calcification following implantation of drug-eluting stents: a patient-level pooled analysis of stent-specific, multicenter, prospective IRIS-DES registries
This study sought to determine the incidence and clinical significance of procedural techniques on the outcomes in ‘real-world’ patients with CAC undergoing PCI with drug-eluting stents (DESs). Methods and results Using patient-level data from seven stent-specific, prospective DES registries, we evaluated 17 084 patients who underwent PCI with various DES types between July 2007 and July 2015. The primary outcome was target-vessel failure (TVF), defined as a composite of cardiac death, target-vessel myocardial infarction, or target-vessel revascularization. Outcomes through 3 years (and bet...
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: PCI Source Type: research

Characteristics of recurrent in-stent restenosis after second- and third-generation drug-eluting stent implantation
Conclusion Recurrent ISR of second- and third-generation DES was associated with heterogeneous tissue pattern of first ISR, and high LDL-C level was associated with recurrence. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: PCI Source Type: research

Antithrombotic therapy in patients with atrial fibrillation and acute coronary syndrome undergoing percutaneous coronary intervention; insights from a meta-analysis
Background The optimal antithrombotic regimen for patients undergoing percutaneous coronary intervention in acute coronary syndrome with concomitant atrial fibrillation is largely under investigation. Method PUBMED and EMBASE were searched through October 2019 for randomized trials or subgroup analyses of randomized trials investigating different antithrombotic strategies in patients with atrial fibrillation and acute coronary syndrome undergoing percutaneous coronary intervention. We compared dual antithrombotic therapy versus triple antithrombotic therapy. Dual antithrombotic therapy was defined as vitamin K a...
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: PCI Source Type: research

Safety and efficacy study of prourokinase injection during primary percutaneous coronary intervention in acute ST-segment elevation myocardial infarction
Conclusions Intracoronary administration of prourokinase via balloon catheter during primary percutaneous coronary interventions effectively improved myocardial perfusion and no increased bleeding in ST-segment elevation myocardial infarction patients. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: PCI Source Type: research

Association of gender with clinical outcomes of patients with acute ST-segment elevation myocardial infarction presenting with acute heart failure
Background There is limited data evaluating the sex differences in outcomes of patients with ST-segment elevation myocardial infarction presenting with acute heart failure. We compared the outcomes between women and men with ST-segment elevation myocardial infarction presenting with acute heart failure (Killip classification ≥II). Method All ST-segment elevation myocardial infarction patients presenting to the emergency department of a cardiovascular center in Jakarta, Indonesia, from 1 February 2011 to 30 August 2019 were retrospectively analyzed. Results Of 6557 patients recorded, 929 were women, and...
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: STEMI Source Type: research

Clinical features, sex differences and outcomes of myocardial infarction with nonobstructive coronary arteries: a registry analysis
Conclusion The incidence of MINOCA was 9.5%. Compared to OACD-MI, patients with MINOCA have less cardiac risk factors. In-hospital outcomes of patients diagnosed with MINOCA were better than OACD-MI. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Acute Coronary Syndromes Source Type: research

Vildagliptin vs. insulin treatment alone in diabetic acute coronary syndrome patients
Background Vildagliptin, an oral antidiabetic of the dipeptidyl peptidase-4 (DPP-4) inhibitor drugs, exhibits an overall low risk of hypoglycemia with less frequent hypoglycemic events in type 2 diabetes mellitus (T2DM) patients than other antidiabetic drugs. We hypothesized that among hospitalized acute coronary syndrome (ACS) patients, the addition of vildagliptin to subcutaneous insulin therapy would reduce the risk of hypoglycemic events. Methods One hundred ACS T2DM adult patients naive to DPP-4 inhibitors were enrolled during admission to the ICCU. Patients were divided into two randomized controlled group...
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: Acute Coronary Syndromes Source Type: research

Association of social containment on ST-segment elevation myocardial infarction presentations during the COVID-19 pandemic
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 23, 2020 Category: Cardiology Tags: COVID-19 and CAD Source Type: research

Holistic treatment of heavily calcified coronary lesions: Lithoplasty guidance by optical coherence tomography
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Diffuse saphenous vein graft thrombosis: resolution after one month of apixaban and dual antiplatelet therapy
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

A link between pericoronary inflammation and vulnerable plaque
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

ST-segment elevation myocardial infarction caused by very late in-stent restenosis nine years after deployment
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Images in CAD Source Type: research