Characteristics of ST Elevation Myocardial Infarction Patients Who Do Not Undergo Percutaneous Coronary Intervention After Prehospital Cardiac Catheterization Laboratory Activation
Conclusions: Several of the above variables are expected electrocardiogram mimics; however, the decreased rate of PCI in non-white patients highlights an area for investigation and process improvement. This may guide the development of prehospital STEMI protocols, although avoiding false positive and inappropriate activations. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - February 17, 2016 Category: Cardiology Tags: Original Articles Source Type: research
Cardiac Computed Tomography in Certified German Chest Pain Units
Conclusions: Cardiac CT is underrepresented within the diagnostic work up in certified CPUs in Germany, although its use reduces unnecessary invasive diagnostics. The use of cardiac CT should be reconsidered during the next update of the CPU certification criteria. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - February 17, 2016 Category: Cardiology Tags: Original Articles Source Type: research
Discriminative Power of the HEART Score for Obstructive Coronary Artery Disease in Acute Chest Pain Patients Referred for CCTA
Conclusion: The HEART score does not adequately identify patients with obstructive CAD at CCTA. It does however predict occurrence of MACE in medium-term follow-up. Excluding patients from additional testing based solely on a low HEART score may lead to suboptimal patient management. CCTA had important implications on patient management and may be a more appropriate tool to further stratify risk in ED chest pain patients. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - February 17, 2016 Category: Cardiology Tags: Original Articles Source Type: research
Comparison of the HEART and TIMI Risk Scores for Suspected Acute Coronary Syndrome in the Emergency Department
Conclusions: The HEART score has better discrimination than TIMI and outperforms TIMI within previously published “low-risk” categories. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - February 17, 2016 Category: Cardiology Tags: Original Articles Source Type: research
Addition of B-Type Natriuretic Peptide to Existing Clinical Risk Scores Enhances Identification of Patients at Risk for Atrial Fibrillation Recurrence After Pulmonary Vein Isolation
Conclusions: Circulating BNP levels are independently associated with late AF recurrence after PVI. Inclusion of BNP significantly improves the discriminative ability of CHADS2, CHA2DS2-VASc, R2CHADS2, and the HATCH score in predicting clinically significant, late AF recurrence after PVI and should be incorporated in decision-making algorithms for management of AF. B-R2CHADS2 is the best score model for prediction of late AF recurrence. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Inter-rater Reliability of the Diamond & Forrester Score in Emergency Department Chest Pain Observation Unit Patients
Conclusion: This study supports the use of the D&F score as a reliable indicator of pretest probability in CPU patients by demonstrating that there is good inter-rater reliability. Prospective validation is necessary at the point of patient assessment, in conjunction with application of the D&F score to augment stress utilization decision making. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Lost to Follow-up and Withdrawal of Consent in Contemporary Global Cardiovascular Randomized Clinical Trials
Conclusion: Contemporary cardiovascular clinical trials typically have low proportions of LTFU or WDC, but some trials have approximately 10% of subjects with LTFU or WDC. WDC occurred more frequently than LTFU but was only reported in 60% of the trials. These results emphasize the need to standardize reporting of LTFU and WDC as important trial metrics of quality and to develop strategies to minimize their occurrence. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Significance of an Indeterminate Troponin I in Patients Evaluated for Chest Pain in an Emergency Department Observation Unit
Conclusion: Patients evaluated in our EDOU for chest pain with an initial indeterminate TnI did not develop subsequent MI. However, these patients had an increased rate of revascularization and inpatient admission compared with controls. While our experience suggests that patients with an indeterminate TnI may be safely evaluated in an observation setting, EDOUs which treat only low-risk chest pain patients may wish to recommend inpatient admission for this patient group. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Feasibility of a Tablet Computer System to Collect Patient-reported Symptom Severity in Patients Undergoing Diagnostic Coronary Angiography
Conclusions: We have demonstrated that routine capture of patient-reported symptom severity is technically feasible in a real-world care environment. We share our experiences to provide others with a model for similar programs, and to accelerate implementation nationwide by helping others avoid pitfalls. We believe expansion of similar programs nationally may lead to more robust quality infrastructure. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Performance of the EDACS-accelerated Diagnostic Pathway in a Cohort of US Patients with Acute Chest Pain
Conclusions: Within a US cohort of ED patients with symptoms concerning for ACS, sensitivity for MACE was 88.2%. We are unable to validate the EDACS-ADP as sufficiently sensitive for clinical use. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Original Articles Source Type: research
Atrial Fibrillation Emergency Department Observation Protocol
No abstract available (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - November 19, 2015 Category: Cardiology Tags: Pathway Source Type: research
Abstracts of the Eighteenth Congress of the Cardiovascular Patient Care Center
No abstract available (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - July 28, 2015 Category: Cardiology Tags: Abstracts Source Type: research
Relationship Between Red Blood Cell Distribution Width and Mortality of Patients with Acute Myocardial Infarction Referring to Tehran Heart Center
Conclusions: Six-month mortality was significantly higher in patients with MI with high RDW. Thus given that RDW is an inexpensive and available laboratory test, it could be used for mortality risk assessment and follow up the patients for stricter control of other modifiable risk factors. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - July 28, 2015 Category: Cardiology Tags: Original Article Source Type: research
Organizational Overview
No abstract available (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - July 28, 2015 Category: Cardiology Tags: Society of Cardiovascular Patient Care Source Type: research
Temporal Trends in Disease Severity and Predicted Surgical Risk at the Time of Referral for Echocardiography in Patients Diagnosed with Aortic Stenosis
Conclusions: Among patients referred for echocardiography to a high-volume tertiary hospital center, a significant increase in the prevalence of severe AS was observed over time. This trend occurred in parallel with increasing age and predicted surgical risk at referral. Health-care resource planning should account for an increasing number of patients in need of high-risk aortic valve replacements in the near future. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - July 28, 2015 Category: Cardiology Tags: Original Articles Source Type: research
