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Clinical outcomes and health care costs of transferring rural Western Australians for invasive coronary angiography, and a cost-effective alternative care model: a retrospective cross-sectional study
CONCLUSION: Many rural and remote Western Australians transferred for ICA in Perth have non-obstructive CAD and are medically managed. Providing CTCA as a first line investigation in rural centres could avert half of these transfers and be a cost-effective strategy for risk stratification of people with suspected CAD.PMID:37403443 | DOI:10.5694/mja2.52018
Source: Rural Remote Health - July 5, 2023 Category: Rural Health Authors: Mikhail Alexander Nick S R Lan Michael J Dallo Tom G Briffa Frank M Sanfilippo Andrew Hooper Helen Bartholomew Loletta Hii Graham S Hillis Brendan M McQuillan Girish Dwivedi James M Rankin Abdul Rahman Ihdayhid Source Type: research

Computed tomography Coronary angiography in rural referral hospitals: A single-Centre experience
CONCLUSIONS: CTCA is a safe and efficacious imaging modality for low- to moderate-risk chest pain patients. There was acceptable diagnostic accuracy and the investigation was safe.PMID:37078575 | DOI:10.1111/ajr.12987
Source: The Australian Journal of Rural Health - April 20, 2023 Category: Rural Health Authors: Michael McLucas James King Michael McGee Source Type: research

Contemporary Chest Pain Evaluation: The  Australian Case for Cardiac CT
Heart Lung Circ. 2023 Jan 5:S1443-9506(22)01235-5. doi: 10.1016/j.hlc.2022.12.003. Online ahead of print.ABSTRACTComputed tomography coronary angiography (CTCA) is a non-invasive diagnostic modality that provides a comprehensive anatomical assessment of the coronary arteries and coronary atherosclerosis, including plaque burden, composition and morphology. The past decade has witnessed an increase in the role of CTCA for evaluating patients with both stable and acute chest pain, and recent international guidelines have provided increasing support for a first line CTCA diagnostic strategy in select patients. CTCA offers som...
Source: Atherosclerosis - January 7, 2023 Category: Cardiology Authors: Abdul Rahman Ihdayhid Nick S R Lan Gemma A Figtree Sanjay Patel Clare Arnott Christian Hamilton-Craig Peter J Psaltis Jonathon Leipsic Timothy Fairbairn Sudhir Wahi Graham S Hillis James M Rankin Girish Dwivedi Stephen J Nicholls Source Type: research

Association of Growth differentiation factor 15 with arterial stiffness and endothelial function in subpopulations of patients with coronary artery disease: a proof-of-concept study
CONCLUSION: This proof-of-concept study showed that higher circulating levels of GDF-15, an inflammatory biomarker, were associated significantly with increased arterial stiffness only in AMI patients, whereas elevated GDF-15 demonstrated a linear relationship with the severity of the myocardial injury.PMID:36336806 | DOI:10.2174/2772270817666221104120923
Source: Adv Data - November 6, 2022 Category: Epidemiology Authors: Konstantinos Mourouzis Gerasimos Siasos Nikoleta Bozini Evangelos Oikonomou Marina Zaromitidou Vasiliki Tsigkou Eleni Kokkou Evanthia Bletsa Panagiota Stampouloglou Manolis Vavuranakis Dimitrios Tousoulis Source Type: research

MINOCA: under recognized and affecting predominantly female patients —an Australian experience
ConclusionThe clinical prevalence rate of MINOCA at Peninsula Health is 10.9% with a MACE of 5.2%. MINOCA is recognized and the low rate of additional testing could be improved given the female predominance and prognostic implications.
Source: Irish Journal of Medical Science - August 8, 2022 Category: General Medicine Source Type: research

Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.
In this study, 40 presumably healthy male marathon runners had their cardiac troponin and other findings measured before and after running a marathon. 39 pts (97.5%) had baseline cTnT values below the reference limit (less than 14 ng/L). 38 pts (95%) of participants had post-marathon cTnT concentration rise above this reference limit. The median post-marathon cTnT was 41 ng/L, and the 95th percentile concentration was 90 ng/L. None reported " cardiac symptoms " after the race.See this single post for many examples of BTWI:Understanding this pathognomonic ECG would have greatly benefitted the patient.More cases involving BT...
Source: Dr. Smith's ECG Blog - May 19, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

Understanding this pathognomonic ECG would have greatly benefitted the patient.
 Written by Pendell MeyersInterpret this ECG first without context. You don ' t need context yet because this ECG is nearly pathognomonic.After having learned about benign T wave inversion pattern years ago on this blog, and having seen many cases on this blog and in my practice since then, I instantly recognize this as BTWI, a fairly common normal variant. I see maybe one of these ECGs each month in my practice. There is no ischemia, certainly no concern at all for OMI. It meets basically all of the criteria that Dr. Smith has consistently described over the years, after reviewing a large cohort of patients by W...
Source: Dr. Smith's ECG Blog - March 22, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

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