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Specialty: Cardiology
Condition: Cardiogenic Shock

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Total 235 results found since Jan 2013.

Does remote ischaemic preconditioning with postconditioning improve clinical outcomes of patients undergoing cardiac surgery? Remote Ischaemic Preconditioning with Postconditioning Outcome Trial
Conclusion Remote ischaemic preconditioning with RIPostC by transient upper limb ischaemia did not improve clinical outcome in patients who underwent cardiac surgery. Clinical Trial Registration clinicaltrials.gov, NCT00997217.
Source: European Heart Journal - January 14, 2014 Category: Cardiology Authors: Hong, D. M., Lee, E.-H., Kim, H. J., Min, J. J., Chin, J.-H., Choi, D.-K., Bahk, J.-H., Sim, J.-Y., Choi, I.-C., Jeon, Y. Tags: Acute coronary syndromes Source Type: research

Results of Primary Percutaneous Coronary Intervention in Patients ≥75 Years Treated by the Transradial Approach
In conclusion, TRA-PPCI was feasible in the vast majority of elderly patients with STEMI. In-hospital mortality, 1-year mortality, and 1-year MACE were lower than reported for transfemoral access, suggesting a benefit of the TRA in these patients.
Source: The American Journal of Cardiology - November 11, 2013 Category: Cardiology Authors: Oriol Rodriguez-Leor, Eduard Fernandez-Nofrerias, Xavier Carrillo, Josepa Mauri, Carlos Labata, Carolina Oliete, Maria del Carmen Rivas, Antoni Bayes-Genis Tags: Coronary Artery Disease Source Type: research

Regional Variation Across the United States in Management and Outcomes of ST‐Elevation Myocardial Infarction: Analysis of the 2003 to 2010 Nationwide Inpatient Sample Database
ConclusionsDespite higher reperfusion and revascularization rates, STEMI patients in the Midwest, West, and South have paradoxically higher risk‐adjusted in‐hospital mortality as compared with patients in the Northeast.
Source: Clinical Cardiology - January 29, 2014 Category: Cardiology Authors: Dhaval Kolte, Sahil Khera, Wilbert S. Aronow, Marjan Mujib, Chandrasekar Palaniswamy, Ali Ahmed, William H. Frishman, Gregg C. Fonarow Tags: Quality and Outcomes Source Type: research

Thrombolytic Therapy for Thrombosis of Continuous Flow Ventricular Assist Devices
Conclusions: In the setting of LVAD thrombosis, thrombolytic therapy is an alternate treatment strategy in a subset of patients. Candidacy for this alternate procedure must carefully weigh the risks of complications, including hemorrhage and thromboembolism.
Source: Journal of Cardiac Failure - December 19, 2013 Category: Cardiology Authors: Kelly Schlendorf, Chetan B. Patel, Thomas Gehrig, Todd L. Kiefer, G. Michael Felker, Adrian F. Hernandez, Laura J. Blue, Carmelo A. Milano, Joseph G. Rogers Tags: Clinical Investigations Source Type: research

Platelet aggregation inhibition by Eptifibatide versus high dose Tirofiban during primary percutaneous interventions
Conclusions • Platelet aggregation inhibition during PCI was significantly correlated with STR and MBG. Platelet aggregation inhibition cut-off point as a predictor of STR >70% was 89.5%, and as a predictor of MBG 2–3 was 87.5%. • Eptifibatide achieves better platelet aggregation inhibition 60min after bolus and 6h after PCI than high dose Tirofiban. • Eptifibatide is associated with better myocardial perfusion as indicated by post procedural mean MBG and STR >70% than high dose Tirofiban. • There was no significant differences between Eptifibatide and high dose Tirofiban regarding thrombocytope...
Source: The Egyptian Heart Journal - November 6, 2014 Category: Cardiology Source Type: research

Off-hour admission and outcomes for patients with acute myocardial infarction undergoing percutaneous coronary interventions
Conclusions Patients who were admitted during off-hours did not have higher mortality or readmission rates as compared with ones admitted during regular hours at an academic medical center.
Source: American Heart Journal - December 9, 2014 Category: Cardiology Source Type: research

A regional pharmacoinvasive PCI strategy incorporating selected bleeding avoidance strategies
ConclusionBleeding and ischemia rates were similar between the PIT and primary PCI strategies in the setting of routine use of selected BAS; further study on a broader range of BAS including the radial approach may be warranted. Cardiac arrest and bailout glycoprotein IIb/IIIa inhibitor, but not PIT in conjunction with selected BAS, are independent predictors of bleeding risk in a regional ST-segment elevation myocardial infarction population.
Source: Coronary Artery Disease - December 10, 2014 Category: Cardiology Tags: Original Research Source Type: research

Drug-eluting stents vs. bare metal stents in patients with cardiogenic shock: a comparison by propensity score analysis
Background: In patients with cardiogenic shock, data on the comparative safety and efficacy of drug-eluting stents (DESs) vs. bare metal stents (BMSs) are lacking. We sought to assess the performance of DESs compared with BMSs among patients with cardiogenic shock undergoing percutaneous coronary intervention (PCI). Methods: Out of 236 patients with acute coronary syndromes complicated by cardiogenic shock, 203 were included in the final analysis. The primary endpoint included death, and the secondary endpoint of major adverse cardiac and cerebrovascular events (MACCEs) included the composite of death, myocardial infarctio...
Source: Journal of Cardiovascular Medicine - February 3, 2015 Category: Cardiology Tags: Percutaneous coronary interventions Source Type: research

0120: B-type Nt-proBNP as a marker for contrast induced nephropathy in patients with primary percutaneous coronary intervention for ST segment elevation myocardial infarction
Conclusion From this large contemporary prospective study, our work suggests that Nt-proBNP levels at admission could help to identify patients at risk of CIN beyond traditional risk factors.
Source: Archives of Cardiovascular Diseases Supplements - February 12, 2015 Category: Cardiology Source Type: research

Immediate coronary artery bypass graft surgery for acute coronary syndrome – Outcomes and trends over the past eight years
Conclusions The analysis of our patient file shows a decreasing trend in the number of patients undergoing emergency surgery due to ACS in our centre in the course of the last eight years. Between 2010 and 2013, the proportional representation of patients undergoing surgery due to UA decreased, while the percentage of patients undergoing surgery due to AMI and CS increased. Within the population of patients with ACS, we were also able to determine an increased frequency of some risk factors and increased thirty-day mortality among patients undergoing surgery.
Source: Cor et Vasa - April 13, 2015 Category: Cardiology Source Type: research

Sex-related differences after contemporary primary percutaneous coronary intervention for ST-segment elevation myocardial infarction.
CONCLUSION: In our consecutive unselected patient population, women had similar 1-year outcomes to men matched for age and diabetes, after contemporary primary PCI for STEMI, despite having a higher risk profile at baseline. PMID: 25937358 [PubMed - as supplied by publisher]
Source: Archives of Cardiovascular Diseases - April 27, 2015 Category: Cardiology Authors: Barthélémy O, Degrell P, Berman E, Kerneis M, Petroni T, Silvain J, Payot L, Choussat R, Collet JP, Helft G, Montalescot G, Le Feuvre C Tags: Arch Cardiovasc Dis Source Type: research

Abstract 119: Daily Cardiac Catheterization Procedural Volume and Complications Session Title: Poster Session I
Conclusions: There is a U-shaped association between CC volume and rates of CC related complications. Unlike prior studies which identified high annual volumes were associated with lower complication rate, our study results suggests that this relationship does not hold true for daily volume. There appears to be a daily limit at which complication rates begin to rise in proportion to volume. Higher complication rates were seen on days with very low CC volume (<5 procedures) and days with very high CC volume (>12 procedures). It is important that individual high volume CC labs consider a quality control analysis of the...
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Slicker, K., Lane, W., Oyetayo, O., Zimmermann, J., Copeland, L. A., Stock, E. M., Erwin, J. Tags: Session Title: Poster Session I Source Type: research

Clinical outcomes of the intra-aortic balloon pump for resuscitated patients with acute myocardial infarction complicated by cardiac arrest.
CONCLUSION: The use of IABP did not show clinical benefits in patients with AMI complicated by severe cardiogenic shock after propensity matching analysis. PMID: 25982668 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - May 14, 2015 Category: Cardiology Authors: Kim HK, Jeong MH, Ahn Y, Sim DS, Chae SC, Kim YJ, Hur SH, Seong IW, Hong TJ, Choi DH, Cho MC, Kim CJ, Seung KB, Jang YS, Rha SW, Bae JH, Cho JG, Park SJ, other Korea Acute Myocardial Infarction Registry Investigators Tags: J Cardiol Source Type: research

Percutaneous Coronary Intervention at Centers With and Without On-Site Surgical Backup: An Updated Meta-Analysis of 23 Studies.
CONCLUSIONS: -Clinical outcomes and complication rates of PCI at centers without on-site surgery did not differ from those with on-site surgery, for both primary and non-primary PCI. Temporal trends indicated improving clinical outcomes in non-primary PCI at centers without on-site surgery. PMID: 26152708 [PubMed - as supplied by publisher]
Source: Circulation - July 7, 2015 Category: Cardiology Authors: Lee JM, Hwang D, Park J, Kim KJ, Ahn C, Koo BK Tags: Circulation Source Type: research

Yes, We Can! (Should We?).
Abstract Historically, percutaneous coronary intervention (PCI) was relegated to hospitals with co-located cardiac surgery because of the potential need for emergent surgical treatment of PCI-related complications. In the current issue of Circulation, Lee and colleagues(1) compare outcomes of PCI at hospitals with and without on-site cardiac surgery and show that emergency cardiac surgery is, in fact, rarely needed (<1%). This meta-analysis summarizes 23 studies that include over one million patients and demonstrates the incidence of other PCI-related complications including myocardial infarction, stroke, cardi...
Source: Circulation - July 7, 2015 Category: Cardiology Authors: Aversano TR Tags: Circulation Source Type: research