Intravascular ultrasound and ultrasonic flow ratio-guided zero-contrast percutaneous coronary intervention: first report of a novel technique treating a patient with obstructive coronary artery disease and contrast allergy
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Research communications Source Type: research
Long-term dietary and weight changes following a short-term dietary intervention study: EVADE-CAD trial follow-up
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Research communications Source Type: research
The prognostic value of neutrophil-to-lymphocyte ratio across all stages of coronary artery disease
The natural history of coronary heart disease (CAD) commonly begins with atherosclerosis, progressing to chronic coronary syndrome (CCS), acute coronary syndrome (ACS), and eventually, heart failure. Despite advancements in preventive and therapeutic strategies, there is room for further cardiovascular risk reduction. Recently, inflammation has emerged as a potential therapeutic target. The neutrophil-to-lymphocyte ratio (NLR) is a novel inflammatory biomarker which predicts poor prognosis in several conditions such as metabolic syndrome, sepsis, malignancy and CAD. In atherosclerosis, a high NLR predicts plaque vulnerabil...
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Reviews in Depth Source Type: research
Saphenous vein harvesting techniques for coronary artery bypass grafting: a systematic review and meta-analysis
The great saphenous vein (GSV) graft remains a frequently used conduit for coronary artery bypass graft (CABG) surgery. The optimal technique for GSV harvesting has been the subject of on-going controversy. We therefore sought to conduct a systematic review and meta-analysis of all available GSV harvesting techniques in CABG. A systematic search of 12 electronic databases was performed to identify all randomized controlled trials (RCTs) of any GSV harvesting technique, including conventional vein harvesting (CVH), no-touch, standard bridging technique (SBT) and endoscopic vein harvesting (EVH) techniques. We investigated s...
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Reviews in Depth Source Type: research
Comprehensive clinical assessment of coronary plaque phenotype: integrating optical coherence tomography and intravascular ultrasound co-registration
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Coronary Imaging: Editorial Source Type: research
Clinical determinants of coronary artery disease burden and vulnerability using optical coherence tomography co-registered with intravascular ultrasound
Conclusion
Patient characteristics, especially diabetes mellitus and aging, affect underlying atherosclerotic burden, among which a greater lipidic burden along with sex differences influence local thrombotic morphology that affects clinical presentation. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Coronary Imaging Source Type: research
Biodegradable polymer drug-eluting stents versus durable polymer drug-eluting stents for percutaneous coronary intervention: a contemporary registry-based analysis
Conclusion
Similar rates of the composite outcome were observed throughout the entire follow-up. Target lesion revascularization rates were lower in the BP-DES group at 1-year but equalized within 5 years. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: PCI Source Type: research
Predictors of angina resolution after percutaneous coronary intervention in stable coronary artery disease
Conclusion
Most patients achieved symptom resolution with PCI and optimal medical therapy. A residual chronic total occlusion after PCI was associated with persistent angina. Other degrees of stenoses were not associated with persistent angina. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: PCI Source Type: research
A meta-analysis of optimal medical therapy with or without percutaneous coronary intervention in patients with stable coronary artery disease
Conclusions
In patient with chronic stable CAD (without left main disease or reduced ejection fraction), PCI in addition to OMT did not improve mortality or MI compared to OMT alone. However, this strategy is associated with a lower rate of revascularization and improved anginal symptoms. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Stable CAD Source Type: research
Ambient temperature and infarct size, microvascular obstruction, left ventricular function and clinical outcomes after ST-segment elevation myocardial infarction
Objectives
Incidence and prognosis of ST-segment elevation myocardial infarction (STEMI) vary according to ambient temperature and season. We sought to assess whether season and temperature on the day of STEMI are associated with infarct size, microvascular obstruction (MVO), left ventricular ejection fraction (LVEF) and clinical outcomes after primary percutaneous coronary intervention (PCI).
Methods
Individual patient data from 1598 patients undergoing primary PCI in six randomized clinical trials were pooled. Infarct size was evaluated by cardiac magnetic resonance within 30 days in all trials. Patients wer...
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Myocardial Infarction/ACS Source Type: research
Clinical implications of arterial hypertension in patients with spontaneous coronary artery dissection
This study sought to assess the clinical implications of arterial hypertension in a nationwide cohort of patients with SCAD.
Methods
The Spanish SCAD registry (NCT03607981) prospectively enrolled 318 consecutive patients. All coronary angiograms were centrally analyzed to confirm the diagnosis of SCAD. Patients were classified according to the presence of arterial hypertension.
Results
One-hundred eighteen patients (37%) had a diagnosis of arterial hypertension. Hypertensive SCAD patients were older (60 ± 12 vs. 51 ± 9 years old) and had more frequently dyslipidemia (56 vs. 23%) and diabetes (9 vs. ...
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Myocardial Infarction/ACS Source Type: research
Rates of revascularization and PCI:CABG ratio: a new indicator predicting in-hospital mortality in acute coronary syndromes
This study was designed to evaluate whether higher PCI:CABG ratios lead to higher in-hospital PCI or CABG mortality.
Methods
The National Readmission Database for years 2016 was queried for all hospitalized ACS patients who underwent coronary revascularization during their admission. The study population was derived from 355 US hospitals and included 103 021 patients. Hospitals were grouped based on their PCI:CABG ratio into low, intermediate, and high ratio quartiles with a median [interquartile ranges (IQR)] PCI:CABG ratio of 2.9 (2.5–3.2), 5.0 (4.3–5.9) and 8.9 (7.8–10.3), respectively multivariable logisti...
Source: Coronary Artery Disease - February 3, 2022 Category: Cardiology Tags: Myocardial Infarction/ACS Source Type: research
Association of 5 F and 6 F radial sheath with the incidence of radial artery occlusion after transradial catheterization: a systematic review, meta-analysis and meta-regression
No abstract available (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 9, 2021 Category: Cardiology Tags: Images in CAD Source Type: research
Effects of atorvastatin doses on serum level of procalcitonin and predictors for major adverse cardiovascular events in patients with acute myocardial infarction: a pilot study and post hoc analysis
This study aimed to investigate the effects of different doses of atorvastatin on the serum inflammatory profiles, especially procalcitonin and major adverse cardiovascular events (MACEs) in patients with AMI during hospitalization.
Methods
The patients who were admitted to the Coronary Care Unit of The Third Medical Center of PLA General Hospital (Beijing, China) between January 2015 and December 2015 with a diagnosis of AMI were enrolled, and randomized to atorvastatin 20 mg/day postoperatively (20-mg group), 40 mg/day postoperatively (40-mg group) and 80 mg preoperatively+40 mg/day postoperatively (80/40-mg group...
Source: Coronary Artery Disease - December 9, 2021 Category: Cardiology Tags: Images in CAD Source Type: research
Elevated asymmetric dimethylarginine level as biomarkers of adverse outcomes in individuals undergoing coronary angiography/percutaneous coronary interventions: a systematic review and meta-analysis
Conclusions
High level of ADMA level is possibly an independent predictor of mortality and cardiovascular events in individuals undergoing CAG/PCI. Detection of blood ADMA level before CAG/PCI may add valuable clinical prognosis information. (Source: Coronary Artery Disease)
Source: Coronary Artery Disease - December 9, 2021 Category: Cardiology Tags: Images in CAD Source Type: research
