Article
Cardiac & Cardiovascular Systems
Ik Jun Choi, Eun Ho Choo, Hwa Jung Kim, Sungmin Lim, Donggyu Moon, Kwan Yong Lee, Byung-Hee Hwang, Chan Joon Kim, Mahn-Won Park, Jong-Min Lee, Chul Soo Park, Hee-Yeol Kim, Ki-Dong Yoo, Doo Soo Jeon, Wook Sung Chung, Min Chul Kim, Myung Ho Jeong, Youngkeun Ahn, Kiyuk Chang
Summary: The study found that diabetic patients with AMI who had a mean HbA1c of 6.5 to 7.0% had the lowest all-cause mortality. In patients aged 65 and older, there was a J-curve relationship between mean HbA1c and all-cause mortality, suggesting that less strict glycemic control may be more optimal for preventing mortality in this group of patients.
CARDIOVASCULAR DIABETOLOGY
(2021)
Article
Multidisciplinary Sciences
Jangho Park, Sangwoo Park, Yong-Giun Kim, Soe Hee Ann, Hyun Woo Park, Jon Suh, Jae-Hyung Roh, Young-Rak Cho, Seungbong Han, Gyung-Min Park
Summary: An analysis of National Health Insurance data in Korea showed that pre-existing depression does not have a significant impact on mortality in patients with established coronary artery disease undergoing PCI. However, younger patients with angina and depression may have a higher risk of all-cause mortality.
SCIENTIFIC REPORTS
(2021)
Article
Cardiac & Cardiovascular Systems
Kah Yong Peck, Nick Andrianopoulos, Diem Dinh, Louise Roberts, Stephen J. Duffy, Martin Sebastian, David Clark, Angela Brennan, Ernesto Oqueli, Andrew E. Ajani, Christopher M. Reid, Melanie Freeman, Andrew W. Teh
Summary: The study showed that in patients undergoing percutaneous coronary intervention for acute coronary syndrome, the use of beta blockers was associated with lower mortality rates, especially in patients with lower left ventricular ejection fraction.
Article
Medicine, General & Internal
Tobias F. S. Pustjens, Marijke J. C. Timmermans, Saman Rasoul, Arnoud W. J. van't Hof
Summary: The study found that NSTE-ACS patients with MVD undergoing MV-PCI and CO-PCI had similar mortality rates at long-term follow-up, but the MV-PCI group showed improved event-free survival in terms of fewer coronary reinterventions.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Seung-Hyun Kim, Michael Behnes, Kambis Mashayekhi, Alexander Bufe, Markus Meyer-Gessner, Ibrahim El-Battrawy, Ibrahim Akin
Summary: Studies have shown a clear association between coronary chronic total occlusion (CTO) and adverse clinical outcomes, especially in patients with acute myocardial infarction (AMI). However, the prognostic impact of CTO-percutaneous coronary intervention (PCI) during AMI remains controversial due to the higher risk of complications compared to non-occlusive coronary lesions.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Chemistry, Multidisciplinary
Jian Zhang, Ying-Ying Zheng, Ting-Ting Wu, Xiang Ma, Yi-Tong Ma, Xiang Xie, Bao-Peng Tang
Summary: The BRTP score is an independent predictor for all-cause mortality and cardiac mortality in both diabetic and nondiabetic patients, and is also a predictor for major adverse cardiovascular events and major adverse cardiovascular and cerebrovascular events specifically in diabetic patients.
Article
Medicine, General & Internal
Ygal Plakht, Harel Gilutz, Arthur Shiyovich
Summary: This study evaluated the prognostic significance of HbA(1C) levels and changes among diabetic patients after non-fatal AMI. The results showed that fluctuations in HbA(1C) values, especially rapid increases, were associated with a higher risk of mortality. Monitoring both absolute HbA(1C) values and their changes could help predict long-term outcomes in AMI-DM patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Yuichi Saito, Kazuya Tateishi, Masato Kanda, Yuki Shiko, Yohei Kawasaki, Yoshio Kobayashi, Takahiro Inoue
Summary: This study reveals that there is an inverse relationship between the volume of primary, elective, and total PCI performed in hospitals and in-hospital mortality in patients with acute MI undergoing primary PCI. Additionally, a lower ratio of primary to total PCI volume is associated with higher in-hospital mortality, suggesting it as an indicator of quality of care for acute MI.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Multidisciplinary Sciences
Toshiki Kuno, Takahisa Mikami, Yuki Sahashi, Yohei Numasawa, Masahiro Suzuki, Shigetaka Noma, Keiichi Fukuda, Shun Kohsaka
Summary: The study found that machine learning techniques can predict acute kidney injury after percutaneous coronary intervention using fewer variables. This method enables accurate risk assessment and may enhance the international use of validated risk models.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Chye-Gen Chin, Wei-Ta Chen, Yung-Kuo Lin, Cheng-Chih Chung, Ming-Hsiung Hsieh
Summary: Pre-excitation syndrome, such as Wolf-Parkinson-White (WPW) syndrome, can complicate the diagnosis of acute myocardial infarction. This case report highlights the importance of early detection of myocardial injury in patients with WPW syndrome, as it can mimic or mask the symptoms of myocardial infarction.
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION
(2022)
Article
Pharmacology & Pharmacy
Arun Kumar, Pamela L. Lutsey, Wendy L. St. Peter, Jon C. Schommer, Jeremy R. Van't Hof, Abhijeet Rajpurohit, Joel F. Farley
Summary: In acute coronary syndrome following percutaneous coronary intervention, newer P2Y12 inhibitors (ticagrelor and prasugrel) reduce cardiovascular outcomes compared to clopidogrel, but have a higher bleeding risk. This study examines the safety of each inhibitor in a real-world population.
CLINICAL PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Health Care Sciences & Services
Natalia Maruszak, Weronika Pilch, Rafal Januszek, Krzysztof Piotr Malinowski, Andrzej Surdacki, Michal Chyrchel
Summary: This study evaluated potential variables associated with the risk of suboptimal TIMI flow after PCI in patients with anterior wall STEMI. The results showed that failure to achieve optimal TIMI 3 flow grade after PCI was associated with lower TIMI grade prior to PCI, greater troponin concentration before and after PCI, as well as lower mean minimal systolic blood pressure.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Cell Biology
Bradley Tucker, Kaivan Vaidya, Blake J. Cochran, Sanjay Patel
Summary: Periprocedural myocardial injury and myocardial infarction are common complications of percutaneous coronary intervention, associated with increased short- and long-term mortality. Inflammation levels before, during, and after the procedure are linked to higher rates of myonecrosis and future cardiovascular events. In addition to inflammation from underlying coronary disease, PCI itself triggers an acute inflammatory response.
Article
Medicine, General & Internal
Claudio Montalto, Nuccia Morici, Aung Myat, Gabriele Crimi, Giuseppe De Luca, Irene Bossi, Adam de Belder, Stefano Savonitto, Stefano De Servi
Summary: In older adults with acute myocardial infarction, a strategy of multi-vessel percutaneous coronary intervention (MV-PCI) for complete revascularization is associated with better survival and lower risk of adverse clinical events compared to a strategy of culprit-vessel (CV) PCI.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Nebojsa Antonijevic, Predrag Mitrovic, Nikola Gosnjic, Dejan Orlic, Sasa Kadija, Tanja Ilic Mostic, Nebojsa Savic, Ljubica Birovljev, Zaklina Lekovic, Dragan Matic
Summary: This case report presents the first reported case of surgery in a pregnant woman treated with dual antiplatelet therapy without discontinuation of ticagrelor. Despite insufficient platelet inhibition of ticagrelor and moderate inhibition of aspirin, a caesarean section was performed for the patient due to the need for emergency surgery, with local hemostatic measures to prevent excessive bleeding.
JOURNAL OF PERSONALIZED MEDICINE
(2023)