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

Inflammatory rheumatic disorders and readmission following acute myocardial infarction: analysis from the Nationwide Readmissions Database
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Research Communication Source Type: research

Regional variations in cardiovascular risk factors and access to care among US veterans with cardiovascular disease
Conclusions In this observational study involving US veterans with CVD, cardiovascular risk factors and frequency of annual medical checkup differed amongst each US region. Further large-scale studies examining the prevalence of impaired access to care and quality of care in US veterans with CVD are warranted. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Risk Factors in CAD Source Type: research

Association between mean platelet volume and major adverse cardiac events in percutaneous coronary interventions: a systematic review and meta-analysis
This study aimed to conduct a meta-analysis illustrating the association between MPV and long-term MACE in PCI. The Cochrane Library, Pubmed, EMBASE, Ovid MEDLINE, and BIOSIS databases were used to search for relevant studies from their inception to 30 June 2019. All studies reporting incidences of MACE and MPV in PCI patients were retained. Data extraction was performed by three independent reviewers. A total of 33 studies were included in this meta-analysis. The results indicated that patients with MACE had a significantly larger MPV than those without, with an unstandardized mean difference (USMD) of 0.29 fL (95% CI, 0....
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Review in Depth Source Type: research

Improvement of the frontal QRS-T angle after successful percutaneous coronary revascularization in patients with chronic total occlusion
Background The QRS-T angle (QRS-Ta) is a novel marker of myocardial repolarization heterogeneity which is related to adverse cardiovascular events. Our aim in this study was to investigate the effect of successful percutaneous coronary intervention (PCI) on frontal QRS-Ta in patients with chronic total occlusion (CTO). Materials and methods A total of 132 patients undergoing PCI for CTO were included in this study. Successful PCI of CTO segment was performed in 84 patients (group 2) while 48 who failed CTO were observed (group 1). Baseline demographic and clinical variables were evaluated and, 12-lead surface ECGs of ...
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: PCI Source Type: research

Procedural outcomes of chronic total occlusion percutaneous coronary intervention in patients with dissection and reentry versus wire escalation techniques: a meta-analysis
Conclusion The present meta-analysis suggests that the DR technique is relatively frequently used during contemporary CTO PCI, especially for challenging more complex CTO lesions. However, it is associated with higher, yet acceptable, rates of periprocedural adverse events as compared with a conventional WE strategy. Further refinement of DR techniques and evidence from large RCTs is needed to define the optimal role of DR in hybrid CTO PCI. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: PCI Source Type: research

Neointima characteristics as a prognostic marker for drug-coated balloon angioplasty in patients with in-stent restenosis: an optical coherence tomography study
Conclusions The follow-up OCT neointimal characteristics after DCB for ISR was associated with initial OCT characteristics. Sustained unfavorable neointima in serial OCT imaging may reflect poor prognosis in patients with ISR treated with DCB. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: PCI Source Type: research

Short-term prognosis of unstable angina in the era of high-sensitivity cardiac troponin: insights for early rule-out strategies
Conclusion Single measurement hsTnT strategies, successfully tested to rule-out MI, may allow safe ED discharge of patients with a suspected acute coronary syndrome: even if UA may not be excluded, its short-term prognosis is favorable. UA patients with a C-reactive protein>4.5 mg/L and older than 60 years have a substantial medium-term cardiovascular risk and may benefit from a timely outpatient diagnostic assessment. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: Unstable Angina Source Type: research

The impact of lesion complexity on no-reflow phenomenon and predictors of reversibility in patients treated with primary percutaneous intervention
In this study, we aimed to investigate the impact of culprit lesion complexity on no-reflow phenomenon. Furthermore, we aimed to investigate the factors that are related to reversibility of no-reflow. Methods We prospectively included 424 patients treated with pPCI. Patients’ baseline characteristics and clinical variables were recorded. Reversibility of no-reflow was decided according to final angiography or ST resolution during the first hour following pPCI. There were 90 patients with a diagnosis of no-reflow constituted group 1 and patients without no-reflow constituted group 2. Complexity of coronary artery d...
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: STEMI Source Type: research

Culprit lesion morphology in patients with ST-segment elevation myocardial infarction assessed by optical coherence tomography
This study sought to evaluate the incidence of ruptured plaques and nonruptured plaques (NRP) and to compare patient characteristics and detailed plaque morphology features between the two culprit types in ST-segment elevation myocardial infarction (STEMI) patients, using optical coherence tomography (OCT). Methods and results Using OCT, the culprit lesions in patients with STEMI were assessed prior to stent implantation. The culprit lesion was categorized as ruptured plaques or NRP, and the plaque components were evaluated. Fifty-two patients (69.3%) presented with ruptured plaques and 23 (30.7%) with NRP. Patients wit...
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: STEMI Source Type: research

Delirium is an important predictor of mortality in elderly patients with ST-elevation myocardial infarction: insight from National Inpatient Sample database
This study aims to assess the impacts of delirium in elderly patients undergoing percutaneous coronary intervention (PCI) following ST-elevation myocardial infarction (STEMI). Methods We queried the National Inpatient Samples from 2010 to 2014 to identify all patients aged 65 and older, and admitted with a primary diagnosis of STEMI undergoing PCI by using the International Classification of Diseases-Ninth Edition-Clinical Modification diagnosis codes. The patients with delirium from this cohort were further evaluated. Multivariate regression model with SPSS Statistics 25.0 (IBM Corp., Armonk, New York, USA) was used to...
Source: Coronary Artery Disease - October 29, 2020 Category: Cardiology Tags: STEMI Source Type: research

Stent-less percutaneous coronary intervention using rotational atherectomy to the noncalcified occlusive lesion with recanalized thrombus
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 5, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Stent fracture and thrombosis visualized by a combination of enhanced stent visualization and optical coherence tomography
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 5, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Symptomatic giant coronary artery aneurysm treated with covered stents
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 5, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

A case of extensive coronary spasm
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - October 5, 2020 Category: Cardiology Tags: Images in CAD Source Type: research

Association of lymphocyte-to-monocyte ratio with total coronary plaque burden in patients with coronary artery disease
Background: Lymphocyte-to-monocyte ratio (LMR) is involved in all stages of coronary atherosclerosis and related to coronary artery disease (CAD). However, the correlation between LMR and the coronary plaque burden of CAD is not clearly elucidated. Therefore, this study aimed to investigate their correlation in patients with CAD. Methods: A total of 1953 consecutive eligible inpatients with suspected CAD were retrospectively included in this study. They were assigned into CAD (n = 564) and non-CAD groups (n = 1389). All patients underwent coronary computed tomographic angiography to evaluate coronary stenosis and coro...
Source: Coronary Artery Disease - October 5, 2020 Category: Cardiology Tags: Lipids and Inflammation Source Type: research