Predictors and prognosis for complex coronary lesions in patients with acute myocardial infarction

Background We aimed to investigate the determinants and outcomes of multiple complex lesions (MCLs) on coronary angiography in patients with an acute myocardial infarction. Methods One thousand one hundred fifty-two consecutive nonselected myocardial infarction patients who underwent coronary angiography within 24 hours after admission were analyzed. A complex lesion was defined by the presence of thrombus, ulceration, irregular plaque, and flow impairment. Patients with ≤1 complex lesion were considered with single complex lesion (SCL), and patients with >1 complex lesions with MCLs. Results Multiple complex lesions were identified in 360 patients (31%). Patients from the MCL group were ol…

Prevalence and impact of metabolic syndrome on hospital outcomes in acute myocardial infarction.

The impact of metabolic syndrome after acute myocardial infarction (AMI) has not yet been studied. In a population-based sample of patients with AMI, we sought to determine the prevalence of metabolic syndrome in patients with AMI, its impact on hospital outcomes, and to assess the relative influence of each of the components of the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III definition of metabolic syndrome on the risk of death and heart failure.A total of 633 unselected, consecutive patients hospitalized with AMI were categorized according to the NCEP ATP III metabolic syndrome criteria (presence of/=3 of the following: hyperglycemia; triglyceride level/=…

Rehabilitación en la arteriopatía de los miembros inferiores

La rehabilitacion en la arteriopatia de los miembros inferiores se basa en programas personalizados que asocian readaptacion al esfuerzo y educacion terapeutica. Aumenta las capacidades fisicas, sobre todo la distancia de la marcha, permite reanudar las actividades, reduce los factores de riesgo y mejora los frecuentes trastornos del estado de animo que se observan en estos pacientes. Mejora las anomalias fisiopatologicas, en especial el desequilibrio neurovegetativo y la disfuncion endotelial. Se recomienda un programa ambulatorio de al menos tres sesiones por semana durante 2-3 meses. La evaluacion funcional (pruebas de esfuerzo maximo, pruebas de marcha) permite adaptar el programa de re…

Cardiovascular prevention and at-risk behaviours in a large population of amateur rugby players.

Background and aim We aimed to investigate cardiovascular risk factors and health behaviours prospectively in a large population of French amateur rugby players. Methods An anonymous questionnaire was displayed to rugby players aged over 12 years enrolled in the 2014–2015 French amateur rugby championship from the Burgundy region ( n = 5140). Questions addressed awareness on: (a) cardiovascular prevention; (b) tobacco, alcohol and highly caffeinated beverages consumption; and (c) adherence to prevention guidelines (ECG checks, training in basic life support, avoidance of sports practice during fever/infectious episodes). Results Among the 640 participants who completed the questionnaires, m…

P2485Log Book as a new tool for the secondary prevention of coronary artery disease

Prognostic value of ST-segment resolution after rescue percutaneous coronary intervention. Data from the RICO survey

Objectives: The goal of the present study was to test the impact of ST segment resolution (STR) after rescue percutaneous coronary intervention (PCI) on the short-term prognosis. Background: The prognostic value of STR after rescue PCI for acute ST elevation myocardial infarction (STEMI) remains undetermined. Methods: From the French regional database, we analyzed 168 consecutive patients with STEMI and failed lysis, defined by <50 percent STR, who underwent rescue PCI. Patients were classified into two groups according to the degree of STR from the maximal ST-elevation measured on the single worst ECG lead before lysis and after rescue PCI: the without STR group (<50% STR) vs. the with STR…

Impact of Fasting Glycemia on Short-Term Prognosis after Acute Myocardial Infarction

The prognosis of patients with acute myocardial infarction (MI), according to the new criteria for impaired fasting glucose (IFG) (FG 100-126 mg/dl), has not been evaluated.A total of 2353 patients with acute MI and surviving at d 5 after admission were analyzed for short-term morbidity and mortality. FG was obtained at d 4 and 5. Patients were classified as diabetes mellitus (known diabetes or FGor = 126 mg/dl), high IFG (110or = FG126 mg/dl), low IFG (100or = FG110 mg/dl), and normal fasting glucose (NFG) (FG100 mg/dl).Among the 2353 patients, 968 (41%) had diabetes mellitus, 262 (11%) had high IFG, 332 (14%) had low IFG, and 791 (34%) had NFG. Compared with NFG patients, 30-d cardiovascu…

A terminal Cretaceous giant pterosaur from the French Pyrenees

A very large pterosaur cervical vertebra is described from the Upper Maastrichtian deposits of Mérigon, in the foothills of the French Pyrenees. It resembles the vertebrae of Quetzalcoatlus, from the Maastrichtian of Texas, more than those of Arambourgiania, from the Maastrichtian of Jordan. The estimated wing span of the Mérigon pterosaur is close to 9 m, which makes it one of the largest known flying creatures. Giant pterosaurs still had a wide geographical distribution at the end of Maastrichtian time, which is not suggestive of a declining group, although it is difficult to obtain an accurate estimate of taxonomic diversity of terminal Cretaceous pterosaurs on the basis of available dat…