Rotational Atherectomy in Women
While ischemic heart disease represents the leading cause of death among both women and men worldwide, gender-related differences in clinical presentation, disease management, response to therapies and outcomes are evident. Identifying and understanding sex-based disparities and remaining cognizant that optimal therapeutic approaches may differ for women and men with coronary disease is a priority in optimizing care for both genders. With respect to coronary revascularization, women referred for percutaneous coronary intervention (PCI) are significantly older than their male counterparts and have a higher prevalence of com...
Source: The American Journal of Cardiology - April 15, 2024 Category: Cardiology Authors: Craig R. Narins Tags: Editorial Source Type: research
Corrigendum to ‘Objectively Measured Night-Time Sleep Efficiency and Quality of Life in Patients With Heart Failure With Preserved Ejection Fraction’ [American Journal of Cardiology 208 (2023) 124-125]
The authors regret to inform that there has been a mistake in the authorship sequence. Therefore we are updating the correct authorship sequence using the corrigendum. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 13, 2024 Category: Cardiology Authors: Syed Imran Ahmed, Jonathan Kenyon, Hayley E. Billingsley, Hannah Salmons, Natalie J. Bohmke, Roshanak Markley, Antonio Abbate, Danielle L. Kirkman, Youngdeok Kim, Salvatore Carbone Tags: Corrigendum Source Type: research
Development of a Risk Score for Long-term Survival and MACCE After Coronary Artery Bypass Grafting Surgery
OBJECTIVE: To develop risk scoring models predicting long-term survival and major adverse cardiovascular and cerebrovascular events (MACCE) including myocardial infarction and stroke after coronary artery bypass grafting (CABG).METHODS: All-consecutive 4,821 patients undergoing isolated CABG at Lankenau between 01/2005-07/2021 were included. MACCE was defined as all-cause mortality+myocardial infarction (MI)+stroke. Variable selection for both outcomes was obtained using a double selection logit Lasso with adaptive selection. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 10, 2024 Category: Cardiology Authors: Aleksander Dokollari, Fabrizio Rosati, Claudio Muneretto, Andrea Amabile, Marjela Pernoci, Marco Gemelli, Ali Fatehi Hassanabad, Serge Sicouri, Noah Sicouri, Yoshiyuki Yamashita, Massimo Baudo, Massimo Bonacchi, Francesco Cabrucci, Beatrice Bacchi, Nitin Source Type: research
Assessment and Follow-Up of the Aortic Root by 2-Dimensional Echocardiography
The 2-dimensional echocardiography is a widely available, noninvasive means of evaluating the heart and aorta, which provides extensive and detailed diagnostic information with potential prognostic value for events linked to cardiac anatomic and functional findings.1 The aortic root is readily imaged in most patients and provides reproducible measurements at several locations.2 –4 Acquired aortic root enlargement occurs in several significant disease states, including aortic valve abnormalities, chronically increased blood pressure, and aortic aneurysm and dissection. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 9, 2024 Category: Cardiology Authors: James L. Vacek Tags: Editorial Source Type: research
Assessment and Follow Up of the Aortic Root by 2-D Echocardiography
Two dimensional echocardiography is a widely available, noninvasive means of evaluating the heart and aorta, which provides extensive and detailed diagnostic information with potential prognostic value for events linked to cardiac anatomic and functional findings. (1) The aortic root is readily imaged in most people and provides reproducible measurements at several locations. (2-4) Acquired aortic root enlargement occurs in several significant disease states, including aortic valve abnormalities, chronically elevated blood pressure, and aortic aneurysm and dissection.(5-8) Long standing questions have existed regarding nor...
Source: The American Journal of Cardiology - April 9, 2024 Category: Cardiology Authors: James L. Vacek Tags: Editorial Source Type: research
Impact of Tricuspid Regurgitation on Outcomes After Transcatheter Mitral Valve Replacement
Development of functional tricuspid regurgitation (TR) due to chronic mitral disease and subsequent heart failure is common. However, the effect of TR on clinical outcomes following transcatheter mitral valve replacement (TMVR) remains unclear. We aimed to evaluate the impact of baseline TR on outcomes after TMVR. This was a single-center retrospective analysis of patients who received valve-in-valve or valve-in-ring TMVR between 2012 and 2022. Patients were categorized into none/mild TR and moderate/severe TR based on baseline echocardiography. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 9, 2024 Category: Cardiology Authors: Hiroki A. Ueyama, Giancarlo Licitra, Patrick T. Gleason, Omid Behbahani-Nejad, Roshan Modi, Dhiren Rajagopal, Isida Byku, Joe X. Xie, Adam B. Greenbaum, Gaetano Paone, W. Brent Keeling, Kendra J. Grubb, George S. Hanzel, Chandan M. Devireddy, Peter C. Blo Source Type: research
Rural-Urban Pulmonary Embolism Mortality Gaps in the United States
Pulmonary embolism (PE) remains a major cause of morbidity and mortality in the United States (United States). Despite advancements in therapy, mortality rates have increased in recent decades.1 The urbanization of residence carries notable implications for health care outcomes. Therefore, this study aimed to evaluate the impact of urbanization of residence on PE mortality rates in the United States. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 6, 2024 Category: Cardiology Authors: Natalie Hickerson, Ramzi Ibrahim, Enkhtsogt Sainbayar, Hoang Nhat Pham, Sabrina Soin, Mohammed Salih, Jo ão Paulo Ferreira, See-Wei Low, Mamas A. Mamas Tags: Brief report Source Type: research
Incidence, Predictors, and Outcomes of Nonhome Discharge Following Transcatheter Aortic Valve Implantation: A Multicenter Australian Experience —The NHD TAVI Study
Transcatheter aortic valve implantation (TAVI) has emerged as a cornerstone intervention for patients with severe symptomatic aortic stenosis (AS). A considerable number of TAVI recipients experience nonhome discharge (NHD),1 –5 a phenomenon traditionally associated with increased health care utilization, morbidity, and mortality.6 Patients who underwent TAVI may be particularly vulnerable to NHD given that they are often over the age of 80 years, co-morbid, and frail.7 For patients who cannot return home after NHD, th e outcomes can be devastating leading to physical disability and psychological harm. (Source: The Ameri...
Source: The American Journal of Cardiology - April 5, 2024 Category: Cardiology Authors: Anant D. Butala, Shane Nanayakkara, Rohan V. Navani, Sonny Palmer, Samer Noaman, Kawa Haji, Nay M. Htun, Antony S. Walton, Dion Stub Source Type: research
Incidence, Predictors and Outcomes of Non-Home Discharge Following Transcatheter Aortic Valve Implantation: A Multicentre Australian Experience – The NHD TAVI Study
Transcatheter aortic valve implantation (TAVI) has emerged as a cornerstone intervention for patients with severe, symptomatic aortic stenosis (AS). A considerable number of TAVI recipients experience non-home discharge (NHD),1-5 a phenomenon traditionally associated with increased health-care utilisation, morbidity and mortality.6 TAVI patients may be particularly vulnerable to NHD given they are often over the age of 80, co-morbid and frail.7 For patients unable to return home following NHD, outcomes can be devastating leading to physical disability and psychological harm. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 5, 2024 Category: Cardiology Authors: Anant D Butala, Shane Nanayakkara, Rohan V Navani, Sonny Palmer, Samer Noaman, Kawa Haji, Nay M Htun, Antony S. Walton, Dion Stub Source Type: research
The Role of Retrograde Crossing in Short Coronary Chronic Total Occlusions
Since its first description in 19901 the retrograde approach has transformed chronic total occlusion (CTO) percutaneous coronary intervention (PCI) 2-4 and has been instrumental in achieving high success rates, especially in complex occlusions.5-7 However, the retrograde approach requires dedicated expertise and has been consistently associated with higher risk of complications compared with antegrade only CTO crossing.5 As a result, several algorithms have been proposed about when and how to use the retrograde approach, either as the initial crossing strategy (primary retrograde crossing) or after failure of antegrade cro...
Source: The American Journal of Cardiology - April 5, 2024 Category: Cardiology Authors: Deniz Mutlu, Emmanouil S. Brilakis Tags: Editorial Source Type: research
Characteristics of High-Performing Hospitals in Cardiogenic Shock Following Acute Myocardial Infarction
Cardiogenic shock (CS) remains a severe complication of acute myocardial infarction (AMI), carrying an in-hospital mortality of 30 to 50%.1-3 Despite more frequent percutaneous coronary intervention (PCI) and an array of mechanical circulatory support (MCS), the substantial mortality of AMI-CS nevertheless persists.1,4-7 Adherence to process measures in other cardiology domains, such as ejection fraction assessment after AMI or initiation of guideline-directed therapy in heart failure (HF), is associated with decreased mortality. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 5, 2024 Category: Cardiology Authors: Amit Saha, Shuang Li, James A. de Lemos, Ambarish Pandey, Deepak L. Bhatt, Gregg C. Fonarow, Brahmajee K. Nallamothu, Tracy Y.MHS WangMSc, Ann Marie Navar, Eric Peterson, Roland A. Matsouaka, Anthony A. Bavry, Sandeep R. Das, Justin L. Grodin, Rohan Khera Source Type: research
Outcomes After Left Atrial Appendage Clip Placement During Cardiac Surgery: A Nationwide Analysis
This study evaluated nationwide associations between concomitant left atrial appendage clip (LAAC) placement during cardiac surgery and postoperative outcomes. We identified 1,260,999 patients who underwent coronary artery bypass grafting, valve, and aortic surgeries in the 2016-2020 Nationwide Readmissions Database and stratified by concomitant LAAC versus no-LAAC placement. Patients who underwent surgical ablation were excluded. Mortality and complications were compared during index admissions and for patients readmitted within 30 and 90 days of the index discharge date for unmatched and propensity score matched (PSM) gr...
Source: The American Journal of Cardiology - April 5, 2024 Category: Cardiology Authors: Jean-Luc A. Maigrot, Aaron J. Weiss, Guangjin Zhou, Haley N. Jenkins, Siran M. Koroukian, Krish C. Dewan, Edward G. Soltesz Source Type: research
Acute Coronary Syndrome Revascularization Strategies With Multivessel Coronary Artery Disease
In acute coronary syndromes (ACS), revascularization is the standard of care. However, trials comparing contemporary coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are limited. Optimal revascularization in patients with multivessel coronary artery disease (MV-CAD) presenting with ACS is unclear. This is a multicentered, retrospective observational study from a large hospital system in the United States. We abstracted data in patients with MV-CAD and ACS from 2018 to 2022 who underwent revascularization with PCI, CABG, or medical management (MM). (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 4, 2024 Category: Cardiology Authors: R. Jay Widmer, Kendall Hammonds, Timothy Mixon, Jose Emilio Exaire, Christopher Douglas Chiles, Giuseppe Tavilla, Molly I. Szerlip, J. Michael DiMaio Source Type: research
Remembering Dr. Alain Cribier (1945 to 2024): A Visionary in Interventional Cardiology
Alain Cribier, born on January 25, 1945, in Paris, France, spent his formative years in the city, where he received his primary education at Charlemagne Lyc ée. From a young age, he harbored a strong ambition to enter the field of medicine, inspired by the literary works of novelist physicians. He enrolled at the University of Paris, where he successfully earned his medical degree and completed his residency training. His time at the University of Pari s was fundamental in shaping his interest in interventional cardiology, particularly through his close mentorship with Charles Duposit, a distinguished cardiac surgeon of t...
Source: The American Journal of Cardiology - April 4, 2024 Category: Cardiology Authors: Haleema Qayyum Abbasi, Aman Goyal Tags: Editorial Source Type: research
Stepping Away from the Monolith: The Disaggregation of Asian Cardiovascular Data
Although nearly twenty million Asian-Americans reside in the United States and national census data has been disaggregated for over 40 years, medical literature has lagged behind these developments1,2. Data from major national surveys (e.g. The American Community Survey, The National Health Interview Survey, and the Behavioral Risk Factor Surveillance Survey) were initially aggregated due to concerns regarding data privacy and lack of robust sample size leading to a monolithic analysis of Asian-Americans3,4. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 4, 2024 Category: Cardiology Authors: Shruti Revankar, Anandita Agarwala Source Type: research
