• The ACC/AHA guidelines continue to emphasize the importance of primary prevention of ACS by decreasing coronary artery disease risk factors, including hypertension, hypercholesterolemia, diabetes mellitus, and smoking. (aafp.org)
  • 1 Family history of coronary artery disease is also a risk factor. (aafp.org)
  • If a broken catheter tip can not be retrieved from the coronary artery, 'fix' it! (manipal.edu)
  • Single Coronary Artery from Right Sinus of Valsalva: A Single Center Experience of Seven Cases. (manipal.edu)
  • IVUS-derived negative remodeling is associated with adverse long-term clinical outcome in stable patients with intermediate coronary artery stenosis. (hindawi.com)
  • Accordingly, we sought to investigate the impact of arterial remodeling of intermediate lesions on long-term prognosis in patients with stable coronary artery disease. (hindawi.com)
  • BIOFLOW-V: A Prospective Randomized Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus Eluting Coronary Stent System in the Treatment Of Subjects With up to Three De Novo or Restenotic Coronary Artery Lesions Science. (biotronik.com)
  • In this manuscript, we focus on the broad aviation medicine considerations that are required to optimally manage aircrew with established coronary artery disease in those without myocardial infarction or revascularisation (both pilots and non-pilot aviation professionals). (bmj.com)
  • It is recommended that in aircrew with non-obstructive coronary artery disease or obstructive coronary artery disease not deemed haemodynamically significant, nor meeting the criteria for excessive burden (based on plaque morphology and aggregate stenosis), a return to flying duties may be possible, although with restrictions. (bmj.com)
  • It is recommended that aircrew with haemodynamically significant coronary artery disease (defined by a decrease in fractional flow reserve) or a total burden of disease that exceeds an aggregated stenosis of 120% are grounded. (bmj.com)
  • With aggressive cardiac risk factor modification and, at a minimum, annual follow-up with routine non-invasive cardiac evaluation, the majority of aircrew with coronary artery disease can safely return to flight duties. (bmj.com)
  • Coronary artery disease (CAD) is the leading cause of death globally, currently accounting for 17 million deaths per year, and projected to increase to more than 23 million by 2030. (bmj.com)
  • A recent publication has shown that cardiac troponin T (TnT) concentrations measured with a highly sensitive assay were significantly associated with the incidence of cardiovascular death and heart failure in stable coronary artery disease after adjustment for other independent prognostic indicators [ 13 ]. (hindawi.com)
  • Coronary CT angiography (CCTA) is revolutionizing the noninvasive assessment of patients with suspected coronary artery disease (CAD). (cardiologyonline.com)
  • Overview of Acute Coronary Syndromes (ACS) Acute coronary syndromes result from acute obstruction of a coronary artery. (msdmanuals.com)
  • Overview of Coronary Artery Disease Coronary artery disease (CAD) involves impairment of blood flow through the coronary arteries, most commonly by atheromas. (msdmanuals.com)
  • Acute Myocardial Infarction (MI) Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. (msdmanuals.com)
  • Unstable Angina Unstable angina results from acute obstruction of a coronary artery without myocardial infarction. (msdmanuals.com)
  • Unstable coronary artery plaque is the most common underlying cause of acute coronary syndromes (ACS) and can manifest as unstable angina, non-ST segment elevation infarction (NSTE-ACS), and ST elevation myocardial infarction (STEMI), but can also manifest as sudden cardiac arrest due to ischaemia induced tachyarrhythmias. (romanianjournalcardiology.ro)
  • However, such figures are misleading, and short term (in-hospital) outcome is still better for NSTE-ACS than for STEMI, while the longer term mortality rate is higher for NSTE-ACS, but this is probably influenced by the different age and risk structure of the STEMI and NSTE-ACS populations: NSTE-ACS patients are generally older and often have multivessel (MV) coronary artery disease (CAD). (romanianjournalcardiology.ro)
  • The presence of CRP, complement, and oxLDL in a high proportion of plaque tissue from patients with unstable coronary artery disease implies that these surrogate markers have important proinflammatory effects inside atherosclerotic plaques. (bmj.com)
  • OBJECTIVE: To compare the long term efficacy and safety of rosuvastatin with atorvastatin treatment in adults with coronary artery disease. (bvsalud.org)
  • PARTICIPANTS: 4400 adults (age ≥19 years) with coronary artery disease. (bvsalud.org)
  • Background: The impact of titrated versus fixed intensity statin therapy in patients with coronary artery disease (CAD) and diabetes mellitus (DM) remains to be elucidated. (bvsalud.org)
  • 2016 ACC/AHA guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. (jamanetwork.com)
  • 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: the task force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS). (jamanetwork.com)
  • To compare the correlation of "thrombolysis in myocardial infarction (TIMI)" and "Global Registry of Acute Coronary Events (GRACE)" risk score with lesion of coronary artery disease in patients with non-ST segment elevation acute coronary syndrome. (pjmhsonline.com)
  • C) At the very proximal of this artery, there was also eccentric lesion with relatively high echo density. (rjmatthewsmd.com)
  • Coronary artery disease 2014 Dec 25 (8): 658-64. (cdc.gov)
  • The objective of the study is to evaluate CT-LeSc long-term prognostic value in patients with suspected coronary artery disease (CAD). (who.int)
  • José de Ribamar Costa coronary artery. (bvsalud.org)
  • Small involvement due to paucity of vascular ary to the compression of a coronary cysts are susceptible to desiccation but bed and myocardial fibre is extremely artery or germinative layer embolism large hydatid cysts are very resilient. (who.int)
  • Conversely, the absence of NC lesions by angiography is highly predictive of freedom from events not related to the originally treated culprit lesion(s). (eur.nl)
  • Methods: Thirty-seven patients with acute coronary syndrome (ACS) or stable angina underwent coronary 16-slice MDCT and invasive selective angiography. (elsevierpure.com)
  • In patients with acute coronary syndrome (ACS), coronary computed tomographic angiography (CCTA) was used to capture adverse geometric characteristics (AGCs) of coronary plaques. (medpagetoday.com)
  • 3 In patients with ACS and 2 or more significant lesions, the culprit lesion was defined using invasive coronary angiography and electrocardiography. (medpagetoday.com)
  • Even coronary lesions that fractional flow reserve (FFR) readings have indicated are of low risk for causing ischemia could be of high risk if optical coherence tomography (OCT) intravascular imaging indicates they are vulnerable to rupture, suggests a prospective study of patients with diabetes referred for angiography. (medscape.com)
  • Risk stratification and management strategy of intermediate coronary lesions, defined as 50-70% diameter stenosis (DS) at coronary angiography [ 1 , 2 ], remain a challenging issue [ 3 , 4 ]. (hindawi.com)
  • Intravascular ultrasound (IVUS) is superior to coronary angiography in terms of accurate assessment of lumen area and plaque burden and thus is commonly applied to evaluate intermediate stenotic lesions and guide the decision about revascularization in real-world practice [ 4 , 7 ]. (hindawi.com)
  • Left) The right coronary angiography showed multiple luminal irregularities. (rjmatthewsmd.com)
  • Intracoronary imaging in addition to coronary angiography for patients with out-of-hospital cardiac arrest: More information for better care? (em-consulte.com)
  • In patients without ST-segment elevation, routine coronary angiography has been shown to be not superior to conservative management. (em-consulte.com)
  • However, an electrocardiogram-based decision to perform immediate coronary angiography could be insufficient to identify unstable coronary lesions, which are frequently associated with intermediate coronary stenosis. (em-consulte.com)
  • BACKGROUND: Computed tomography-adapted Leaman score (CT-LeSc) was developed to quantify coronary CT angiography information about atherosclerotic burden (lesion localization, stenosis degree, and plaque composition). (who.int)
  • METHODS AND RESULTS: Single-center prospective registry including 1304 consecutive patients undergoing coronary CT angiography for suspected CAD. (who.int)
  • Recognizing that cardiac troponin measurements may be elevated in disease states not primarily related to myocardial ischemia, a fourth universal definition of acute MI was developed by the American College of Cardiology (ACC), European Society of Cardiology (ESC), American Hospital Association (AHA), and World Health Federation (WHF) in 2018. (medscape.com)
  • Culprit lesions were defined as single lesions with stenosis identified with the ROMICAT (Rule Out Myocardial Infraction by Computer Assister Tomography) definition. (medpagetoday.com)
  • Diagnosis can be made based on patient history, symptoms, electrocardiography findings, and cardiac biomarkers, which delineate between ST elevation myocardial infarction and non-ST elevation acute coronary syndrome. (aafp.org)
  • 1 It is important for primary care physicians to be able to diagnose and manage acute coronary syndrome (ACS), which comprises two clinical presentations: ST elevation myocardial infarction (STEMI) and non-ST elevation acute coronary syndrome (NSTE-ACS). (aafp.org)
  • The term non-ST elevation acute myocardial infarction (NSTEMI) is no longer used in the American College of Cardiology/American Heart Association (ACC/AHA) guidelines as a broad category with separate treatment guidelines. (aafp.org)
  • Do not test for myoglobin or creatine kinase-MB in the diagnosis of acute myocardial infarction. (aafp.org)
  • A Study of 100 Cases of Arrhythmias in First Week of Acute Myocardial Infarction. (manipal.edu)
  • Moreover, in the study, the risk for clinical events such as death, hospitalization, and myocardial infarction (MI) associated with the target lesion was fourfold higher at 18 months in patients with vs those without the target lesions containing TCFA. (medscape.com)
  • Copeptin has been proposed for a rapid and accurate rule out of acute myocardial infarction, but some doubts exist about its use out of the first hours from admission. (hindawi.com)
  • found that the diagnostic performance of sensitivity cardiac Tn assays is excellent within the context of the myocardial infarction, and these assays can substantially improve the early diagnosis of acute myocardial infarction, particularly in patients with a recent onset of chest pain [ 14 ]. (hindawi.com)
  • MAIN OUTCOME MEASURES: The primary outcome was a three year composite of all cause death, myocardial infarction, stroke, or any coronary revascularisation. (bvsalud.org)
  • With the aggravation of inflammatory reaction, it may increase the occurrence of myocardial infarction and sudden death caused by coronary plaque rupture and thrombosis. (researchsquare.com)
  • The changes of intestinal flora and inflammatory factors in ACS and their relationship are not clear in the north-western parts of China, so this study was to explore the changes of intestinal flora and immune inflammatory factors in ACS such as acute myocardial infarction (AMI) and unstable angina pectoris (UAP). (researchsquare.com)
  • In this study, we aim to define the role of endothelin in regulating coronary microvascular blood flow and myocardial perfusion following PCI in patients with non-ST elevation acute coronary syndromes (NSTACS), by assessing whether adjunctive therapy with a selective endothelin A (ET A ) receptor antagonist acutely improves postprocedural coronary microvascular blood flow. (bmj.com)
  • Post-PCI coronary microvascular blood flow and myocardial perfusion were assessed by measuring Doppler-derived average peak velocity (APV), and cardiac biomarker levels were quantified. (bmj.com)
  • Refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction that are usually due to an abrupt reduction in coronary blood flow. (wikem.org)
  • To verify the non-inferiority of Magic Touch SCB hypothesized in target lesion failure (TLF), a composite of cardiac death, ischemia-driven target-lesion revascularization (TLR), target vessel myocardial infarction (MI), at 12 months. (who.int)
  • However, data regarding the long-term clinical outcomes of IVUS-guided deferral of coronary revascularization are limited. (hindawi.com)
  • Patients were enrolled if they had de novo lesions with a visual estimation of lumen DS of 50-70% and without revascularization (balloon angioplasty and/or stent implantation) after IVUS examination. (hindawi.com)
  • Revascularization for Acute Coronary Syndromes Revascularization is the restoration of blood supply to ischemic myocardium in an effort to limit ongoing damage, reduce ventricular irritability, and improve short-term and long-term outcomes. (msdmanuals.com)
  • Despite widespread early intervention in acute coronary syndromes and complete revascularization of stenotic lesions complemented by aggressive polypharmacotherapy, still a high percentage of patients develop a secondary event. (canal-u.tv)
  • All clinical events-cardiac death, target vessel-related MI, ischemia-driven target lesion and target vessel revascularization, and stent thrombosis-were no different between the device arms. (tctmd.com)
  • In all significant coronary lesions two observers measured the degree of stenosis, plaque area at stenosis, and remodeling index and assessed plaque composition. (elsevierpure.com)
  • The risk of future culprit lesions was adjusted for diameter stenosis, number of adverse plaque characteristics, and quantitative plaque characteristics. (medpagetoday.com)
  • Culprit lesions had a greater diameter stenosis, higher prevalence of adverse plaque characteristics, and higher median volumes and burdens of plaque. (medpagetoday.com)
  • Acute coronary syndrome (ACS) refers to any group of symptoms attributed to obstruction of the coronary arteries. (researchgate.net)
  • Recently, CRP was identified within early atherosclerotic lesions in human coronary arteries obtained at necropsy. (bmj.com)
  • Demonstration of Chlamydia pneumoniae in atherosclerotic lesions of coronary arteries. (cdc.gov)
  • Cardiac markers are used for the diagnosis and risk stratification of patients with chest pain and suspected acute coronary syndrome (ACS) and for management and prognosis in patients with acute heart failure, pulmonary embolism, and other disease states. (medscape.com)
  • Up to 80% of patients with acute MI will have an elevated troponin level within 2-3 hours of emergency department (ED) arrival, versus 6-9 hours or more with CK-MB and other cardiac markers. (medscape.com)
  • Acute coronary syndrome is quite chalanging to diagnose when clinical appearance or ECG pattern is not spesific and cardiac marker is not available. (researchgate.net)
  • The consequences of coronary angiographic findings are different in aircrew compared with the general population, and consideration for continuing flight duties of aircrew with known CAD requires a detailed aeromedical review by a cardiac specialist with aviation medicine experience. (bmj.com)
  • Acute coronary syndromes (ACSs) present a complex and heterogeneous pathophysiology [ 1 - 3 ] with high morbidity and mortality mainly due to new cardiac ischaemic events [ 4 ]. (hindawi.com)
  • Very active in cardiac catheterization, echocardiography, coronary care unit and clinical cardiology). (intechopen.com)
  • In 2016 he took up his current position as Director of the Interventional Cardiology Unit at the Department of Cardiac, Thoracic and Vascular Sciences of Padua University, performing both coronary and structural interventional cardiology procedures. (escardio.org)
  • The LEADERS trial with BioMatrix showed the stent was superior to a conventional DES for the prevention of major adverse cardiac events and stent thrombosis, while the BIOFLOW II showed that Orsiro was noninferior to the everolimus-eluting Xience stent (Abbott Vascular) for the prevention of target lesion failure and stent thrombosis at 5 years. (tctmd.com)
  • In patients with coronary lesions without the instability characteristic, conservative management should be the default strategy, and a search for another cause of the cardiac arrest should be systematic. (em-consulte.com)
  • Hard cardiac events (cardiac death and nonfatal acute coronary syndromes) were considered for analysis. (who.int)
  • Mortality, major adverse cardiovascular events (MACEs), target vessel failure, and stent thrombosis (ST) occur more frequently as the result of calcium-mediated poor lesion preparation, stent under expansion, and stent malapposition ( 2 ). (frontiersin.org)
  • The earliest pathologic descriptions of atherosclerotic lesions focused on morphologies of fatty streaks to fibroatheromas (FAs) and advanced plaques complicated by hemorrhage, calcification, ulceration, and thrombosis. (medscape.com)
  • A modified version of the AHA classification was developed by our laboratory to include important pathologic lesions responsible for luminal thrombosis other than plaque rupture, such as plaque erosion and calcified nodule. (medscape.com)
  • Lesion reference to AHA types V and VI was discarded, because it failed to account for the 3 different morphologies (rupture, erosion, and calcified nodule) that give rise to acute coronary thrombosis. (medscape.com)
  • 6 The atherosclerotic cardiovascular disease risk estimator is available online and in mobile app format at http://my.americanheart.org/cvrisk calculator and at http://www.cardiosource.org/en/Science-And-Quality/Practice-Guidelines-and-Quality-Standards/2013-Prevention-Guideline-Tools.aspx . (aafp.org)
  • The findings, therefore, suggest that adding OCT imaging to FFR may sharpen risk assessment of potential target lesions, at least for patients with diabetes, in whom coronary disease tends to follow a more aggressive progression than occurs with patients who do not have diabetes. (medscape.com)
  • Consecutive patients with stable coronary heart disease who received IVUS examination between January 2011 and January 2014 were retrospectively screened. (hindawi.com)
  • Other clinical scenarios requiring IVUS examination (restenosis, acute coronary syndrome, left main disease, and chronic total occlusion) were excluded. (hindawi.com)
  • Atherosclerosis is a chronic inflammatory disease of the vasculature characterised by the infiltration of activated neutrophils and macrophages at sites of damage within the vessel wall, which contributes to lesion formation and plaque progression. (greenmedinfo.com)
  • It is also used for heart disease, premenstrual syndrome (PMS), depression, morning sickness, Alzheimer disease, menstrual cramps, diabetes, and many other conditions, but there is no good scientific evidence to support many of these other uses. (medlineplus.gov)
  • Syndrome of Rochalimaea henselae adenitis suggesting cat scratch disease. (cdc.gov)
  • Background: Noninvasive identification of culprit lesions has the potential to improve noninvasive risk stratification in patients with acute chest pain. (elsevierpure.com)
  • High-sensitivity TnT (hsTnT) has been proposed to improve the diagnosis and stratification in acute coronary syndromes. (hindawi.com)
  • Acute coronary syndromes in complex patients and lesions: what's new? (escardio.org)
  • Coronary stents: novel developments. (biotronik.com)
  • SAN FRANCISCO, CA-A head-to-head comparison of two coronary stents with biodegradable polymers in an all-comers population showed that the Orsiro ultrathin strut drug-eluting stent (Biotronik) was noninferior to the BioMatrix stent (Biosensors) with conventional strut thickness. (tctmd.com)
  • At 18 months, there was no significant difference in the rate of target lesion failure between the two stents. (tctmd.com)
  • Dual Antiplatelet Therapy Guided by CYP2C19 Polymorphisms after Implantation of Second-Generation Drug-Eluting Stents for Management of Acute Coronary Syndrome. (cdc.gov)
  • Significant efforts have been made to characterize and risk stratify carotid and coronary atherosclerotic plaques using various imaging technologies. (nature.com)
  • In contrast, our study demonstrates that autofluorescence in the NIR range uniquely characterizes atherosclerotic plaques with intraplaque hemorrhage and may allow classification of atherosclerotic plaques into lesions of low or high risk for future cardiovascular events. (nature.com)
  • Family physicians need to identify and mitigate risk factors early, as well as recognize and respond to acute coronary syndrome events quickly in any clinical setting. (aafp.org)
  • The combined use of FFR and OCT imaging in some patients "can improve the accuracy" of identifying higher-risk lesions "and therefore should be embraced" in clinical practice, said Kedhi, of Hôpital Erasme, Université libre de Bruxelles, Belgium. (medscape.com)
  • A novel insight from the study, he said, is that there appears to be a disconnect between the current functional impact of a coronary lesion, as assessed by FFR, and the lesion's later propensity for causing clinical events. (medscape.com)
  • The aim of this study was to investigate the impact of arterial remodeling of intermediate coronary lesions on long-term clinical outcomes. (hindawi.com)
  • Furthermore, previous studies have shown that arterial remodeling assessed by IVUS in vivo affects hemodynamic stress on the lesion site [ 8 - 10 ] and is correlated with clinical presentation [ 11 , 12 ]. (hindawi.com)
  • Clinical presentations include silent ischemia, angina pectoris, acute. (msdmanuals.com)
  • Clinically significant bleeding with ticagrelor versus clopidogrel in Korean patients with acute coronary syndromes intended for invasive management: a randomized clinical trial. (jamanetwork.com)
  • Acute coronary syndromes: A handbook for clinical practice is part of the ESC Education Series. (heartandcoeur.com)
  • Impact of CYP2C19 polymorphism on clinical outcome following coronary stenting is more important in non-diabetic than diabetic patients. (cdc.gov)
  • includes background demographic and clinical information of the acute episode of COVID-19. (who.int)
  • Differences between culprit lesions in patients with ACS and stable lesions in patients with ACS or stable angina were determined. (elsevierpure.com)
  • Results: We analyzed 40 lesions with excellent image quality in 14 patients with ACS and 9 patients with stable angina. (elsevierpure.com)
  • The prevalence of non-calcified plaque was 100%, 62%, and 77%, respectively, and the prevalence of calcified plaque was 71%, 92%, and 85%, respectively, in culprit lesions in patients with ACS and in stable lesions in patients with ACS or stable angina. (elsevierpure.com)
  • We identified differences in lesion morphology and plaque composition between culprit lesions in ACS and stable lesions in ACS or stable angina, consistent with previous intravascular ultrasound studies. (elsevierpure.com)
  • The trial, conducted at 14 centers, included 390 patients with stable angina or acute coronary syndromes (ACS) with nonculprit coronary lesions considered of low risk for causing ischemia by showing an FFR higher than 0.80. (medscape.com)
  • The trial included a high proportion of patients with acute coronary syndrome, with 36.5% of patients presenting with unstable angina and roughly 10% of patients presenting with STEMI. (tctmd.com)
  • In 23 lesions, IVL was used for the treatment of in-stent restenosis (ISR). (frontiersin.org)
  • Cilostazol, a phosphodiesterase III inhibitor, has been shown to significantly improve high on-treatment platelet reactivity in patients receiving both aspirin and clopidogrel and has antiproliferative effects (inhibiting neointimal hyperplasia and smooth muscle proliferation), thus reducing the risk of restenosis after coronary stent implantation. (nih.gov)
  • Coronary stent restenosis and the association with allergy to metal content of 316L stainless steel. (cdc.gov)
  • It was determined that, compared with nonculprit lesions, precursors of culprit lesions were at shorter distances from the ostium, more frequently localized to vessel bifurcations, and near tortuous vessel segments, according to findings of a nested case-control study published in JAMA Cardiology . (medpagetoday.com)
  • We sought to characterize AGCs of coronary lesions capturing location and vessel geometry on baseline CCTA. (medpagetoday.com)
  • The authors hypothesized that beyond current qualitative and quantitative plaque features associated with risk of future ACS, AGCs, including lesion location and vessel geometry, are independently associated with future ACS-causing culprit lesions. (medpagetoday.com)
  • Additionally, coronary lesions were identified for 3 AGCs: distance from ostium to lesion, location at vessel bifurcation, and vessel tortuosity, which was defined as the presence of 1 bend of greater than 90 degrees or 3 curves of 45 to 90 degrees. (medpagetoday.com)
  • Selenomethionine supplementation reduces lesion burden, improves vessel function and modulates the inflammatory response within the setting of atherosclerosis. (greenmedinfo.com)
  • Supplementation with SeMet significantly reduced atherosclerotic plaque formation in mouse aortae, resulted in a more stable lesion phenotype and improved vessel function. (greenmedinfo.com)
  • Angiographic success was achieved in 84.6% of lesions. (frontiersin.org)
  • vFFR is an angiographic method used to assess coronary physiology and calculate fractional flow reserve (FFR) values. (siemens-healthineers.com)
  • That is, they registered as having a high lipid content that is thought to make the lesion vulnerable to rupture, potentially triggering an ischemic event. (medscape.com)
  • In addition to adverse effects experienced by cocaine users, body packers-people who swallow bags of cocaine in order to smuggle the drug from one country to another-may experience acute toxicity if any of the bags rupture. (medscape.com)
  • Immune mechanisms are thought to play a pivotal role in atherosclerosis, 1, 2 and inflammatory mediators are thought to be instrumental in early atherosclerotic lesion formation, plaque progression, and plaque rupture. (bmj.com)
  • Ana- a fatal outcome but isolated right atrial subepicardial cyst rupture, rupture may phylactic shock may develop due to cyst wall hydatid cyst is an exceedingly rare be asymptomatic or it may cause acute rupture into the bloodstream. (who.int)
  • Early diagnosis is essential for survival and management is challenging though greater awareness of the syndrome and improving management strategies are improving patient outcomes. (wikipedia.org)
  • Objectives: The purpose of this study was to assess morphology and composition of culprit and stable coronary lesions by multidetector computed tomography (MDCT). (elsevierpure.com)
  • This multicenter, nested case-control study was a substudy of ICONIC (Incident Coronary Syndromes Identified by Computed Tomography) and included patients who had ACS with a culprit lesion precursor seen on CCTA. (medpagetoday.com)
  • The primary outcome was to determine whether lesion level AGCs were associated with progression to ACS-causing culprit lesions. (medpagetoday.com)
  • A total of 116 patients with ACS with culprit lesions were matched with 116 patients with non-ACS. (medpagetoday.com)
  • Among 548 lesions in 116 patients, 116 culprit lesion precursors were characterized and compared with 432 nonculprit lesions. (medpagetoday.com)
  • Usefulness of optical coherence tomography in the assessment of atherosclerotic culprit lesions in acute coronary syndromes. (viamedica.pl)
  • A total of 87 de novo lesions were treated by IVL with the following indications: 25 before attempting other balloon-based devices (primary IVL), 51 after the failure of non-compliant balloon dilatation (secondary IVL), and 11 after stent implantation because of stent under expansion (bailout IVL). (frontiersin.org)
  • Arterial remodeling patterns were assessed in 212 deferred intermediate lesions from 162 patients after IVUS examination. (hindawi.com)
  • In our center, IVUS was routinely used to assess the angiographically intermediated lesions. (hindawi.com)
  • The trial, called COMBINE (OCT-FFR) , showed "for the first time" that a high percentage of patients with diabetes and coronary lesions that were considered nonischemic by FFR actually had high-risk lesions, as indicated by TCFA on OCT imaging, said Elvin Kedhi, MD, PhD, when presenting the research on October 14 during TCT Connect, the 2020-style virtual edition of the annual Transcatheter Cardiovascular Therapeutics (TCT) sessions. (medscape.com)
  • Acute aortic syndrome (AAS) describes a range of severe, painful, potentially life-threatening abnormalities of the aorta. (wikipedia.org)
  • The condition can be mimicked by a ruptured cyst of the pericardium, ruptured aortic aneurysm and acute coronary syndrome. (wikipedia.org)
  • After inges- size, calcification and number of cysts, and acute pericarditis and mimic acute tion, larvae pass the intestine and reach integrity of the cyst, and effect of the coronary syndrome or acute aortic dis- the right side of the heart through the cysts, palpitations and presence of com- section. (who.int)
  • Treatment of coronary intermediate lesions remains a controversy, and the role of arterial remodeling patterns determined by intravascular ultrasound in intermediate lesion is still not well known. (hindawi.com)
  • Currently, Kedhi said, OCT imaging may "best be used in patients with high risk of fast atherosclerosis progression," such as those with diabetes, and for nonculprit lesions in patients with ACS, "as well as patients with diffuse or calcified lesions. (medscape.com)
  • Freitas1 coronary interventions (PCI) in octogenarians are increasingly indicated. (bvsalud.org)
  • In OHCA and NSTEMI, an ECG-based decision to guide management is insufficient to identify unstable coronary lesions. (em-consulte.com)
  • Of coronary plaques in a cohort that were low-risk by FFR, about one fourth were characterized as having thin-cap fibroatheroma (TCFA) at OCT imaging. (medscape.com)
  • The findings also support a role for OCT in identifying coronary plaques that could potentially be threatening in the future. (medscape.com)
  • A total of 105 consecutive patients with 110 calcified lesions underwent IVL. (frontiersin.org)
  • n = 18) underwent directional coronary atherectomy for coronary lesions. (bmj.com)
  • Presenting the results of the BIODEGRADE trial at TCT 2019, lead investigator In-Ho Chae, MD, PhD (Seoul National University/Bundang Hospital, Korea), said that the disappointment over the first fully bioresorbable Absorb coronary stent (Abbott Vascular) has led to a renewed interest in metallic DES with a biodegradable polymer. (tctmd.com)