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Letter by Bougouin et al Regarding Article, Sustained Ventricular Tachycardia and Ventricular Fibrillation Complicating Non-ST-Segment-Elevation Acute Coronary Syndromes

CIRCULATION (2013)

Journal

CIRCULATION

Volume 127, Issue 20, Pages E633-E633

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LIPPINCOTT WILLIAMS & WILKINS

DOI: 10.1161/CIRCULATIONAHA.112.135038

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Management of Acute Coronary Syndromes in Patients Without Persistent ST-Segment Elevation

Rajeev Anchan, Adam S. Cifu, Jonathan Paul

Summary: This article summarizes the European Society of Cardiology's 2020 recommendations for the management of patients with non-ST-segment elevation acute coronary syndromes.

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Early and late ventricular arrhythmias complicating ST-segment elevation myocardial infarction

Vincent Auffret, Hamed Bourenane, Sam Sharobeem, Guillaume Leurent, Romain Didier, Martine Gilard, Pierre-Philippe Nicol, Laurent Payot, Emmanuelle Filippi, Jean-Philippe Hacot, Gilles Rouault, Djamel Saouli, Philippe Druelles, Isabelle Coudert, Bertrand Boulanger, Tarik Cherfaoui, Josiane Treuil, Marc Bedossa, Dominique Boulmier, Marielle Le Guellec, Raphael P. Martins, Herve Le Breton

Summary: This study describes the incidence, predictors, and in-hospital impact of early and late ventricular arrhythmias in patients with ST-segment elevation myocardial infarction (STEMI). Early ventricular arrhythmia is more common than late ventricular arrhythmia and is associated with a higher risk of in-hospital all-cause mortality.

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Epsilon Wave Masked by ST-Segment Elevation After Cardioversion From Sustained Ventricular Tachycardia: An Exceptional Manifestation of Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy

Shinwoo Kim, Ju Hwan Lee, Woo Young Nho, Hyoungouk Kim

Summary: This case report highlights the importance of early recognition and management of ventricular dysrhythmia in cases of suspected acute coronary syndrome. It describes a patient presenting with ventricular tachycardia and subsequent electrocardiographic findings suggestive of arrhythmogenic right ventricular dysplasia/cardiomyopathy. The accurate diagnosis and timely intervention were essential in preventing life-threatening episodes.

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Cathepsin S Levels and Survival Among Patients With Non-ST-Segment Elevation Acute Coronary Syndromes

Kimon Stamatelopoulos, Matthias Mueller-Hennessen, Georgios Georgiopoulos, Pedro Lopez-Ayala, Marco Sachse, Nikolaos Vlachogiannis, Kateryna Sopova, Dimitrios Delialis, Francesca Bonini, Raphael Patras, Giorgia Ciliberti, Mehrshad Vafaie, Moritz Biener, Jasper Boeddinghaus, Thomas Nestelberger, Luca Koechlin, Simon Tual-Chalot, Ioannis Kanakakis, Aikaterini Gatsiou, Hugo Katus, Ioakim Spyridopoulos, Christian Mueller, Evangelos Giannitsis, Konstantinos Stellos

Summary: This study found that circulating CTSS levels can predict long-term mortality in NSTE-ACS patients and can improve risk stratification for patients. Combining CTSS with the GRACE score can enhance the prediction of all-cause mortality and CV death.

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Left ventricular function, strain, and infarct characteristics in patients with transient ST-segment elevation myocardial infarction compared to ST-segment and non-ST-segment elevation myocardial infarctions

Ahmet Demirkiran, Nina W. van der Hoeven, Gladys N. Janssens, Jorrit S. Lemkes, Henk Everaars, Peter M. van de Ven, Nikki van Pouderoijen, Yvonne J. M. van Cauteren, Maarten A. H. van Leeuwen, Alexander Nap, Paul F. Teunissen, Luuk H. G. A. Hopman, Sebastiaan C. A. M. Bekkers, Martijn W. Smulders, Niels van Royen, Albert C. van Rossum, Lourens F. H. J. Robbers, Robin Nijveldt

Summary: This study compared cardiovascular magnetic resonance-derived left ventricular function, strain, and infarct size characteristics in patients with transient ST-segment elevation myocardial infarction (TSTEMI), ST-segment elevation myocardial infarction (STEMI), and non-ST-segment elevation myocardial infarction (NSTEMI). The results showed that TSTEMI patients had better LV function and smaller infarct size compared to STEMI patients, and their characteristics were more similar to NSTEMI patients.

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Speckle Tracking Echocardiography in Non-ST-Segment Elevation Acute Coronary Syndromes

D. Mele, F. Trevisan, A. D'Andrea, G. A. Luisi, V. Smarrazzo, G. Pestelli, F. Flamigni, R. Ferrari

Summary: NSTE-ACS represents a group of clinical conditions caused by acute myocardial ischemia, where conventional echocardiography may not be sufficient to explore all complex features. Speckle tracking echocardiography has become an important technique for assessing cardiac function, helping in diagnosis, differential diagnosis, identifying high-risk patients, and predicting outcomes for patients with NSTE-ACSs.

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Cardiogenic shock complicating non-ST-segment elevation myocardial infarction: An 18-year study

Saraschandra Vallabhajosyula, Huzefa M. Bhopalwala, Pranathi R. Sundaragiri, Nakeya Dewaswala, Wisit Cheungpasitporn, Rajkumar Doshi, Abhiram Prasad, Gurpreet S. Sandhu, Allan S. Jaffe, Malcolm R. Bell, David R. Holmes Jr, Whitesburg Ky, Winston-Salem NC

Summary: This study evaluated the epidemiology and outcomes of non-ST-segment-elevation myocardial infarction-cardiogenic shock (NSTEMI-CS) in the United States. The results showed that the prevalence of NSTEMI-CS has doubled between 2000 and 2017, while the in-hospital mortality has decreased during the study period. The use of coronary angiography and percutaneous coronary intervention increased over time.

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Characteristics and mechanism of reciprocal ST-segment depression in acute ST segment elevation myocardial infarction: Reciprocal ST-segment depression and ST segment elevation myocardial infarction

Qijun Gao, Fangfang Bie, Yingfu Hu, Yafeng Chen, Bo Yang

Summary: This study analyzed the characteristics of RSTD and its relationship with ST-segment elevation in STEMI patients. The results suggest that RSTD may be attributed to a weakened or absent action potential in the negative electrode of the lead, while the action potential in the positive electrode is not completely offset.

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ST-segment elevation predicts the occurrence of malignant ventricular arrhythmia events in patients with acute ST-segment elevation myocardial infarction

Xianpei Wang, Lifang Wei, Ying Wu, Juanjuan Yan, Linwei Zhao, Xinjie Yue, Chuanyu Gao

Summary: ST-segment elevation is a strong predictor for malignant ventricular arrhythmia events in patients with ST-elevation myocardial infarction.

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Incidence and predictors of left ventricular function change following ST-segment elevation myocardial infarction

Chuanfen Liu, Meng Guo, Yuxia Cui, Manyan Wu, Hong Chen

Summary: The aim of this study was to assess the incidence and predictors of left ventricular function change in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). The study found that 54.3% of patients had a decrease in left ventricular ejection fraction (LVEF) during long-term follow-up, while 45.7% experienced an improvement in LV function after primary PCI. Predictors of LVEF improvement included lower peak troponin I, non-anterior STEMI, lower baseline LVEF, and no previous history of myocardial infarction.

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Prophylactic Rivaroxaban Therapy for Left Ventricular Thrombus After Anterior ST-Segment Elevation Myocardial Infarction

Zhongfan Zhang, Daoyuan Si, Qian Zhang, Lina Jin, Haikuo Zheng, Ming Qu, Miao Yu, Zhenya Jiang, Delin Li, Souping Li, Ping Yang, Yuquan He, Wenqi Zhang

Summary: This study investigated the effects of rivaroxaban on thromboprophylaxis in patients with anterior ST-segment elevation myocardial infarction (STEMI). The addition of low-dose rivaroxaban to dual antiplatelet therapy (DAPT) reduced left ventricular thrombus (LVT) formation within 30 days compared to only DAPT. Net clinical adverse events were lower in the rivaroxaban group at 30 days and remained relatively low throughout the follow-up period. A case of major bleeding occurred in the rivaroxaban group within 30 days.

JACC-CARDIOVASCULAR INTERVENTIONS (2022)

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Editorial Material Cardiac & Cardiovascular Systems

Concern regarding missed non-ST-segment elevation myocardial infarctions when applying a single, pre-hospital cardiac troponin measurement

Jonas Glaeser, Pedro Lopez-Ayala, Christian Mueller

Summary: This commentary discusses the randomized trial by C. Camaro et al. on ruling out non-ST-segment elevation acute coronary syndrome through a single, pre-hospital troponin measurement, as well as their discussion piece on the need for more prospective randomized controlled trials in this area.

EUROPEAN HEART JOURNAL (2023)

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Cardiogenic Shock Complicating ST-Segment Elevation Myocardial Infarction: An 18-Year Analysis of Temporal Trends, Epidemiology, Management, and Outcomes

Saraschandra Vallabhajosyula, Nakeya Dewaswala, Pranathi R. Sundaragiri, Huzefa M. Bhopalwala, Wisit Cheungpasitporn, Rajkumar Doshi, P. Elliott Miller, Malcolm R. Bell, Mandeep Singh

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Electrocardiography Score for Left Ventricular Systolic Dysfunction in Non-ST Segment Elevation Acute Coronary Syndrome

Wei-Chen Lin, Ming-Chon Hsiung, Wei-Hsian Yin, Tien-Ping Tsao, Wei-Tsung Lai, Kuan-Chih Huang

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Long-Term Outcomes of Invasive vs Conservative Strategies for Older Patients With Non-ST-Segment Elevation Acute Coronary Syndromes

Erlend S. Berg, Nicolai K. Tegn, Michael Abdelnoor, Kjetil Roysland, Pal Christie Ryalen, Lars Aaberge, Christian Eek, Erik Oie, Vibeke Juliebo, Erik Gjertsen, Anette Hylen Ranhoff, Lars Gullestad, Njord Nordstrand, Bjorn Bendz

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Nicole Karam, Daniel Jost, Xavier Jouven, Eloi Marijon

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Colin Baigent, Stephan Windecker, Daniele Andreini, Elena Arbelo, Emanuele Barbato, Antonio L. Bartorelli, Andreas Baumbach, Elijah R. Behr, Sergio Berti, Hector Bueno, Davide Capodanno, Riccardo Cappato, Alaide Chieffo, Jean-Philippe Collet, Thomas Cuisset, Giovanni de Simone, Victoria Delgado, Paul Dendale, Dariusz Dudek, Thor Edvardsen, Arif Elvan, Jose R. Gonzalez-Juanatey, Mauro Gori, Diederick Grobbee, Tomasz J. Guzik, Sigrun Halvorsen, Michael Haude, Hein Heidbuchel, Gerhard Hindricks, Borja Ibanez, Nicole Karam, Hugo Katus, Fredrikus A. Klok, Stavros Konstantinides, Ulf Landmesser, Christophe Leclercq, Sergio Leonardi, Maddalena Lettino, Giancarlo Marenzi, Josepa Mauri, Marco Metra, Nuccia Morici, Christian Mueller, Anna Sonia Petronio, Marija M. Polovina, Tatjana Potpara, Fabien Praz, Bernard Prendergast, Eva Prescott, Susanna Price, Piotr Pruszczyk, Oriol Rodriguez-Leor, Marco Roffi, Rafael Romaguera, Stephan Rosenkranz, Andrea Sarkozy, Martijn Scherrenberg, Petar Seferovic, Michele Senni, Francesco R. Spera, Giulio Stefanini, Holger Thiele, Daniela Tomasoni, Lucia Torracca, Rhian M. Touyz, Arthur A. Wilde, Bryan Williams

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European Society of Cardiology guidance for the diagnosis and management of cardiovascular disease during the COVID-19 pandemic: part 1-epidemiology, pathophysiology, and diagnosis The Task Force for the management of COVID-19 of the European Society of Cardiology

Colin Baigent, Stephan Windecker, Daniele Andreini, Elena Arbelo, Emanuele Barbato, Antonio L. Bartorelli, Andreas Baumbach, Elijah R. Behr, Sergio Berti, Hector Bueno, Davide Capodanno, Riccardo Cappato, Alaide Chieffo, Jean-Philippe Collet, Thomas Cuisset, Giovanni de Simone, Victoria Delgado, Paul Dendale, Dariusz Dudek, Thor Edvardsen, Arif Elvan, Jose R. Gonzalez-Juanatey, Mauro Gori, Diederick Grobbee, Tomasz J. Guzik, Sigrun Halvorsen, Michael Haude, Hein Heidbuchel, Gerhard Hindricks, Borja Ibanez, Nicole Karam, Hugo Katus, Fredrikus A. Klok, Stavros Konstantinides, Ulf Landmesser, Christophe Leclercq, Sergio Leonardi, Maddalena Lettino, Giancarlo Marenzi, Josepa Mauri, Marco Metra, Nuccia Morici, Christian Mueller, Anna Sonia Petronio, Marija M. Polovina, Tatjana Potpara, Fabien Praz, Bernard Prendergast, Eva Prescott, Susanna Price, Piotr Pruszczyk, Oriol Rodriguez-Leor, Marco Roffi, Rafael Romaguera, Stephan Rosenkranz, Andrea Sarkozy, Martijn Scherrenberg, Petar Seferovic, Michele Senni, Francesco R. Spera, Giulio Stefanini, Holger Thiele, Daniela Tomasoni, Luccia Torracca, Rhian M. Touyz, Arthur A. Wilde, Bryan Williams

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Evolution of Incidence, Management, and Outcomes Over Time in Sports-Related Sudden Cardiac Arrest

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Sports-related sudden cardiac arrest in young adults

Philipp Bohm, Tim Meyer, Kumar Narayanan, Matthias Schindler, Orianne Weizman, Frankie Beganton, Christian Schmied, Wulfran Bougouin, Sergio Barra, Florence Dumas, Olivier Varenne, Alain Cariou, Nicole Karam, Xavier Jouven, Eloi Marijon

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Ventricular fibrillation in acute myocardial infarction: 20-year trends in the FAST-MI study

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Right ventricular dysfunction predicts outcome after transcatheter mitral valve repair for primary mitral valve regurgitation

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EUROPEAN JOURNAL OF HEART FAILURE (2022)

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Sex-specific impact of anthropometric parameters on outcomes after transcatheter edge-to-edge repair for secondary mitral regurgitation

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INTERNATIONAL JOURNAL OF CARDIOLOGY (2023)

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Sex-Specific Considerations in Degenerative Aortic Stenosis for Female-Tailored Transfemoral Aortic Valve Implantation Management

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Summary: The impact of sex on degenerative aortic stenosis, particularly in the context of TAVI, is still unclear. Women appear to have favorable outcomes with TAVI but also higher rates of complications such as bleeding, vascular problems, and stroke. Tailored planning and management strategies based on sex could potentially improve clinical outcomes in TAVI.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2022)

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Article Cardiac & Cardiovascular Systems

Radiation protection for healthcare professionals working in catheterisation laboratories during pregnancy: a statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the ESC Regulatory Affairs Committee and Women as One

Stephane Manzo-Silberman, Maite Velazquez, Sonya Burgess, Sheila Sahni, Patricia Best, Roxana Mehran, Emanuela Piccaluga, Laura Vitali-Serdoz, Amy Sarma, Israel Moshe Barbash, Josepa Mauri, Piotr Szymanski, Lynne Hinterbuchner, Giulio Stefanini, Alessia Gimelli, Pal Maurovich-Horvat, Lucas Boersma, Gill Louise Buchanan, Gianluca Pontone, Lene Holmvang, Nicole Karam, Antoinette Neylon, Marie-Claude Morice, Christophe Leclercq, Giuseppe Tarantini, Dariusz Dudek, Alaide Chieffo

Summary: The European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the European Society of Cardiology (ESC) Regulatory Affairs Committee and Women as One are committed to continuous improvement in healthcare quality and gender equity. Recent surveys showed that radiation exposure is a major concern for women wanting to pursue careers in interventional cardiology or cardiac electrophysiology (EP). This joint statement aims to provide clear information on radiation risk and the experiences of radiation-exposed cardiologists who continue to work during pregnancy, as well as propose measures to improve workplace safety and promote equity.

EUROINTERVENTION (2023)

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Article Cardiac & Cardiovascular Systems

Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular Care (ACVC) and the ESC Working Group on Cardiovascular Surgery

Chiara Fraccaro, Nicole Karam, Helge Moellmann, Sabine Bleiziffer, Nikolaos Bonaros, Rui Campante Teles, Pedro Carrilho Ferreira, Alaide Chieffo, Martin Czerny, Erwan Donal, Dariusz Dudek, Nicolas Dumonteil, Giovanni Esposito, Stephane Fournier, Christian Hassager, Won-Keun Kim, Konstantin A. Krychtiuk, Julinda Mehilli, Jerzy Pregowski, Giulio G. Stefanini, Julien Ternacle, Holger Thiele, Matthias Thielmann, Flavien Vincent, Ralph Stephan von Bardeleben, Giuseppe Tarantini

Summary: This article reviews the available scientific evidence on the management of cardiogenic shock associated with left-sided valvular heart disease and provides a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting.

EUROINTERVENTION (2023)

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Letter by Bougouin et al Regarding Article, Sustained Ventricular Tachycardia and Ventricular Fibrillation Complicating Non-ST-Segment-Elevation Acute Coronary Syndromes

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