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Source: The American Journal of Cardiology
Management: Hospitals
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Total 68 results found since Jan 2013.
Pharmacoinvasive Strategy Versus Primary Percutaneous Coronary Intervention For ST-Segment Elevation Myocardial Infarction In Patients ≥ 70 Years of Age
This study compared efficacy and safety of PI with primary percutaneous coronary intervention (pPCI). Data from 2841 patients (mean age: 78.1±5.6 years, fema le: 36.1%) included in a prospective multicenter registry, and who underwent either PI (n=269) or pPCI (n=2572), were analyzed. The primary endpoint was in-hospital major adverse cardiovascular events (MACE) defined as the composite of all-cause mortality, non-fatal MI, stroke and definite stent thr ombosis.
Source: The American Journal of Cardiology - October 10, 2019 Category: Cardiology Authors: Vincent Auffret, Cl ément Laurin, Guillaume Leurent, Romain Didier, Emmanuelle Filippi, Jean-Philippe Hacot, Amer Zabalawi, Gilles Rouault, Djamel Saouli, Philippe Druelles, Isabelle Coudert, Bertrand Boulanger, Emilie Bot, Josiane Treuil, Marc Bedossa, Source Type: research
Detecting Atrial Fibrillation in Patients with an Embolic Stroke of Undetermined Source (From the DAF-ESUS registry)
Atrial fibrillation (AF) causes a substantial proportion of embolic strokes of undetermided source (ESUS). Effective detection of subclinical AF (SCAF) has important therapeutic implications. We conducted a prospective study to determine the prevalence of SCAF in patients with ESUS through of a 21-day Holter monitoring. In an early-monitoring group, Holter was initiated immediately after hospital discharge. The results were compared with a previous cohort of patients in whom the Holter was initiated at least one week after hospital discharge (late-monitoring group).
Source: The American Journal of Cardiology - November 5, 2019 Category: Cardiology Authors: Jos é Manuel Rubio Campal, M Araceli García Torres, Pepa Sánchez Borque, Inmaculada Navas Vinagre, Ivana Zamarbide Capdepón, Ángel Miracle Blanco, Loreto Bravo Calero, Rafael Sáez Pinel, José Tuñón Fernández, José María Serratosa Fernández Source Type: research
Valve-in-Valve Transcatheter Implantation versus Redo Surgical Aortic Valve Replacement
Valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) for a failing prosthesis is an appealing alternative to redo surgical AVR. We utilized data from the US National Inpatient Sample for the period 2012-2016 to identify hospitalizations for either ViV-TAVI or redo-SAVR. The primary outcomes of interest were in-hospital adverse events composite outcome (comprising of mortality, myocardial infarction, stroke, or acute kidney injury) and all-cause mortality. We used propensity score matching to adjust for the baseline differences between ViV-TAVI and redo-SAVR cohorts.
Source: The American Journal of Cardiology - February 7, 2020 Category: Cardiology Authors: Aaqib H. Malik, Srikanth Yandrapalli, Syed Zaid, Suchith S Shetty, Wilbert S. Aronow, Hasan Ahmad, Gilbert H.L. Tang Source Type: research
Characteristics and Outcome of Patients ≥75 Years of Age with Prior Coronary Artery Bypass Grafting Admitted for an Acute Coronary Syndrome
The prognostic role of prior coronary artery bypass (CABG) in elderly patients admitted to hospital for an acute coronary syndrome (ACS) is unclear. Therefore, the aim of this study was to compare the prognosis of patients aged ≥75 years admitted for an ACS with or without prior history of CABG. The primary outcome of the study was a composite of overall mortality, recurrent non-fatal myocardial infarction (MI), non-fatal stroke and re-hospitalization for heart failure at 1-year follow-up. We included 2253 ACS patients, aged 81 (78-85) years enrolled in three multicentre studies (the Italian Elderly ACS study, the LADIES...
Source: The American Journal of Cardiology - April 1, 2020 Category: Cardiology Authors: Nuccia Morici, Roberta De Rosa, Gabriele Crimi, Leonardo De Luca, Luca A. Ferri, Laura Lenatti, Luigi Piatti, Giovanni Tortorella, Daniele Grosseto, Nicoletta Franco, Irene Bossi, Claudio Montalto, Roberto Antonicelli, Gianfranco Alicandro, Giuseppe De Lu Source Type: research
Usefulness of Long-term Anticoagulation after Catheter Ablation of Atrial Fibrillation
Although atrial fibrillation (AF) is strongly associated with stroke, previous studies have shown suboptimal use of anticoagulation (AC). In particular, there is a lack of data on the long-term use of AC after AF catheter ablation. We followed up patients 1-5 years out from catheter ablation at the Johns Hopkins Hospital (JHH) to assess their long-term use of AC. We sent a survey to patients from the JHH AF database who underwent an AF catheter ablation between 01/01/2014 and 03/31/2018. Patients were asked whether they were still on AC, if they thought the ablation was successful in controlling AF symptoms and whether the...
Source: The American Journal of Cardiology - May 11, 2020 Category: Cardiology Authors: Rafael Arias, George Leef, Usama Daimee, Bhradeev Sivasambu, Tauseef Akhtar, Joseph E. Marine, Ronald Berger, Hugh Calkins, David Spragg Source Type: research
Assessment of ST-Segment Elevation Myocardial Infarction Volume Trends During The COVID-19 Pandemic
Routine inpatient and outpatient health care has been greatly disrupted by the COVID-19 pandemic and both equipment and personnel have been redeployed in order to manage the crisis (https://www.cms.gov/newsroom/press-releases/cms-releases-recommendations-adult-elective-surgeries-non-essential-medical-surgical-and-dental). There have been anecdotal accounts (https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html) and a publication (1) discussing the decrease in the number of ST-segment elevation myocardial infarction (STEMI) activiations.
Source: The American Journal of Cardiology - June 26, 2020 Category: Cardiology Authors: Amir S Lotfi, Alina Capatina, Aaron D Kugelmass Source Type: research
Comparison of Complications and In-Hospital Mortality in Takotsubo (Apical Ballooning/Stress) Cardiomyopathy versus Acute Myocardial Infarction
There are limited data on the incidence of complications and in-hospital outcomes, among patients with Takotsubo cardiomyopathy (TC), as compared to acute myocardial infarction (AMI). From 2007-2014, a retrospective cohort of TC was compared to AMI using the National Inpatient Sample database. Complications were classified as acute heart failure, ventricular arrhythmic, cardiac arrest, high-grade atrioventricular block, mechanical, vascular/access, pericardial, stroke and acute kidney injury. Temporal trends, clinical characteristics and in-hospital outcomes were compared.
Source: The American Journal of Cardiology - July 12, 2020 Category: Cardiology Authors: Saraschandra Vallabhajosyula, Gregory W Barsness, Joerg Herrmann, Nandan S Anavekar, Rajiv Gulati, Abhiram Prasad Source Type: research
Temporal Trends and Outcomes of Left Ventricular Aneurysm after Acute Myocardial Infarction
There are limited data on the prevalence and an outcome of left ventricular (LV) aneurysms following acute myocardial infarction (AMI). Using the National Inpatient Sample during 2000-2017, a retrospective cohort of AMI admissions was evaluated for LV aneurysms. Complications included ventricular arrhythmias, mechanical, cardiac arrest, pump failure, LV thrombus, and stroke. Outcomes of interest included in-hospital mortality, temporal trends, complications, hospitalization costs, and length of stay.
Source: The American Journal of Cardiology - July 26, 2020 Category: Cardiology Authors: Saraschandra Vallabhajosyula, Siddak Kanwar, Htin Aung, Wisit Cheungpasitporn, Claire E Raphael, Rajiv Gulati, Mandeep Singh Source Type: research
Reader's CommentsAssessment of ST-Segment Elevation Myocardial Infarction Volume Trends During The COVID-19 Pandemic
Routine inpatient and outpatient health care has been greatly disrupted by the COVID-19 pandemic and both equipment and personnel have been redeployed in order to manage the crisis (https://www.cms.gov/newsroom/press-releases/cms-releases-recommendations-adult-elective-surgeries-non-essential-medical-surgical-and-dental). There have been anecdotal accounts (https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html) and a publication 1 discussing the decrease in the number of ST-segment elevation myocardial infarction (STEMI) activiations.
Source: The American Journal of Cardiology - June 26, 2020 Category: Cardiology Authors: Amir S Lotfi, Alina Capatina, Aaron D Kugelmass Source Type: research
Outcomes of Patients With Acute Myocardial Infarction Who Recovered from Severe In-Hospital Complications
Acute myocardial infarction (AMI) would sometimes raise severe in-hospital complications such as cardiopulmonary arrest, shock, stroke, atrioventricular block, and respiratory failure. The purpose of this retrospective study was to compare the clinical outcomes of AMI patients who recovered from severe in-hospital complications with those who did not have in-hospital complications. We included 494 AMI patients, and divided those into the in-hospital complications group (n=166) and non-complications group (n=328).
Source: The American Journal of Cardiology - August 28, 2020 Category: Cardiology Authors: Shinnosuke Sawano, Kenichi Sakakura, Yousuke Taniguchi, Kei Yamamoto, Takunori Tsukui, Masaru Seguchi, Hiroyuki Jinnouchi, Hiroshi Wada, Hideo Fujita Source Type: research
Outcomes of Transcatheter Aortic Valve Replacement with Percutaneous Coronary Intervention versus Surgical Aortic Valve Replacement with Coronary Artery Bypass Grafting
We aimed to compare the outcomes of combined surgical aortic valve replacement (SAVR) with coronary artery bypass grafting (CABG) to concurrent transcatheter aortic valve replacement (TAVR) with percutaneous coronary intervention (PCI) in a large U.S. population sample. The National Inpatient Sample (NIS) was queried for all patients diagnosed with aortic valve stenosis who underwent SAVR with CABG or TAVR with PCI during the years 2016-2017. Study outcomes included all-cause in-hospital mortality, acute stroke, pacemaker insertion, vascular complications, major bleeding, acute kidney injury, sepsis, non-home discharge, le...
Source: The American Journal of Cardiology - September 25, 2020 Category: Cardiology Authors: Ashraf Abugroun, Mohammed Osman, Saria Awadalla, Lloyd Klein Source Type: research
Microvascular Disease and Perioperative Outcomes of Non-Cardiac Surgery
Hospital-based non-cardiac surgery is associated with a ∼3% incidence of the composite of death, myocardial infarction (MI), and ischemic stroke, and a 16-20% risk of myocardial injury.1,2 Contemporary approaches to pre-operative cardiovascular risk stratification focus on the identification of macrovascular atherosclerotic disease and traditional card iovascular risk factors.3-5 The relationship between microvascular disease (MVD) and cardiovascular outcomes of non-cardiac surgery is unknown. Observational data in non-surgical cohorts indicate that MVD is associated with lower extremity amputation and major adverse card...
Source: The American Journal of Cardiology - October 12, 2020 Category: Cardiology Authors: Nathaniel R. Smilowitz, Gabriel Redel-Traub, Jeffery S. Berger Source Type: research
Optimization of GRACE Risk Stratification by N-Terminal Pro-B-Type Natriuretic Peptide Combined with D-dimer in Patients with Non-ST-elevation Myocardial Infarction
We aimed to explore the utility of multiple biomarkers with GRACE risk stratification for non-ST-elevation myocardial infarction (NSTEMI). A total of 1357 patients diagnosed with NSTEMI were enrolled in this study at multiple medical centers in Tianjin, China. The outcomes were 1-year all-cause death and major adverse cardiac events (MACE: all-cause death, hospital admission for unstable angina, hospital admission for heart failure, non-fatal recurrent myocardial infarction, and stroke). C-index, NRI and IDI were calculated to verify that the biomarkers improve the predictive accuracy of the GRACE score.
Source: The American Journal of Cardiology - November 3, 2020 Category: Cardiology Authors: Peng-Ju Lu, Xiao-Wen Gong, Yin Liu, Feng-Shi Tian, Wen-Juan Zhang, Ying-Wu Liu, Zhu-Hua Yao, Ji-Xiang Wang, Peng Han, Ya-Nan Yang, Zhuang Cui, Jing Gao Source Type: research
Impact of Sex Differences on Outcomes of Peripheral Artery Disease Intervention (From a Nationwide Sample)
We aimed to evaluate the role of sex differences in the outcomes of catheter-based peripheral arterial disease (PAD) interventions on a national level. We queried the National Inpatient Sample Database and identified all patients who presented with acute or symptomatic chronic limb ischemia (CLI) requiring transcatheter non-surgical peripheral intervention in the years of 2016 - 2017. The primary outcome was major adverse cardiovascular events (MACE), defined as the composite endpoint of in-hospital mortality, non-fatal stroke, and acute myocardial infarction.
Source: The American Journal of Cardiology - November 17, 2020 Category: Cardiology Authors: Abdalla Hassan, Ashraf Abugroun, Hussein Daoud, Shafaq Mahmoud, Saria Awadalla, Annabelle Volgman, Alvaro Alonso Source Type: research
Benefits and Risks of Prolonged Duration Dual Antiplatelet Therapy (Clopidogrel and Aspirin) after Percutaneous Coronary Intervention in High-Risk Patients with Diabetes Mellitus
The efficacy and safety of prolonged (>1-year) dual antiplatelet therapy (DAPT) duration in high-risk patients with diabetes mellitus (DM) undergoing PCI remain unknown. All patients undergoing PCI at Fuwai hospital between January 2013 and December 2013 were prospectively enrolled into the Fuwai PCI registry. 3696 high-risk diabetics patients with at least one additional atherothrombotic risk factor were screened for inclusion. The primary efficacy outcome was the composite of all-cause mortality, myocardial infarction, or stroke.
Source: The American Journal of Cardiology - December 4, 2020 Category: Cardiology Authors: Hao-Yu Wang, Zhong-Xing Cai, Dong Yin, Yue-Jin Yang, Wei-Hua Song, Ke-Fei Dou Source Type: research
