Search results for "coronary syndrome"

showing 10 items of 281 documents

Clinical and prognostic implications of delirium in elderly patients with non-ST-segment elevation acute coronary syndromes.

2019

Background Elderly patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) may present delirium but its clinical relevance is unknown. This study aimed at determining the clinical associated factors, and prognostic implications of delirium in old-aged patients admitted for NSTE-ACS. Methods LONGEVO-SCA is a prospective multicenter registry including unselected patients with NSTE-ACS aged ≥ 80 years. Clinical variables and a complete geriatric evaluation were assessed during hospitalization. The association between delirium and 6-month mortality was assessed by a Cox regression model weighted for a propensity score including the potential confounding variables. We also ana…

The elderlyDeliriumAcute coronary syndromesPrognosisResearch ArticleJournal of geriatric cardiology : JGC
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Can ECG-gated MDCT be considered an obligatory step to plan and manage a new chest-pain unit?

2007

The recent improvements in multi-detector computed tomography technology and its application in cardiac field allow to consider this non-invasive imaging technique as a promising comprehensive method for detecting significant coronary stenoses in a chest-pain unit. The possibility to use the ECG-synchronisation acquisition protocol, normally limited to the cardiac volume, for the entire thoracic vascular system should have the remarkable potential to reduce invasive and non-invasive procedures actually used to investigate acute chest pain and the number of unnecessary hospital admissions without reducing appropriate admissions in patients with chest pain.

ThoraxAcute coronary syndromemedicine.medical_specialtyChest PainCritical CareCardiac VolumeMyocardial InfarctionChest painElectrocardiographymedicineAcute chest painHumansRadiology Nuclear Medicine and imagingMyocardial infarctionAngina UnstablePractice Patterns Physicians'medicine.diagnostic_testbusiness.industryGeneral MedicineSyndromemedicine.diseaseRadiographic Image EnhancementAngiographyPractice Guidelines as TopicRadiologymedicine.symptombusinessTomography X-Ray ComputedElectrocardiographyEuropean Journal of Radiology
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Comprehensive cardiovascular ECG-gated MDCT as a standard diagnostic tool in patients with acute chest pain

2007

Acute myocardial infarction, pulmonary embolism, and aortic dissection are diseases associated with acute chest pain and may lead to severe morbidity and mortality. These diseases may not be trivial to diagnose in the settings of emergency room. ECG-gated multi-detector computed tomography (MDCT), already established for the assessment of pulmonary embolism and aortic dissection, provides reliable information regarding the triage of patients with acute coronary syndrome in the emergency room. MDCT recently appeared to be logistically feasible and a promising comprehensive method for the evaluation of cardiac and non-cardiac chest pain in emergency department patients. The possibility to sca…

ThoraxChest Painmedicine.medical_specialtyAcute coronary syndromeCritical CareMyocardial InfarctionChest painElectrocardiographyInternal medicinemedicineHumansRadiology Nuclear Medicine and imagingAngina Unstablecardiovascular diseasesMyocardial infarctionPractice Patterns Physicians'Aortic dissectionbusiness.industrySyndromeGeneral MedicineEmergency departmentmedicine.diseaseTriagePulmonary embolismRadiographic Image EnhancementPractice Guidelines as Topiccardiovascular systemCardiologyRadiologymedicine.symptomTomography X-Ray ComputedbusinessEuropean Journal of Radiology
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Apical thrombus in a patient with takotsubo cardiomyopathy

2008

We report a case of apical thrombus formation among a group of 15 patients with takotsubo cardiomyopathy who were referred for a suspected acute coronary syndrome over a 2.5-year period. To the best of our knowledge, no data are available regarding the treatment of this syndrome. According to current literature and our reported experience, the use of anticoagulant therapy administered until complete resolution of wall motion abnormalities appears to be appropriate to treat apical thrombus formation and any possible subsequent embolism. © 2008 Italian Federation of Cardiology.

Thrombus.medicine.medical_specialtyAcute coronary syndromebusiness.industryCardiomyopathyGeneral Medicinemedicine.diseaseInternal medicineCardiologyMedicineApical ballooning syndromeTakotsubo cardiomyopathyThrombusCardiology and Cardiovascular MedicinebusinessAnticoagulant therapyJournal of Cardiovascular Medicine
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Molecular markers in acute coronary syndrome

2014

acute coronary syndrome predictor
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Update on the use of anti-thrombotic therapy in acute coronary syndromes

2015

coronary syndromes; anti-thrombotic therapy

anti-thrombotic therapycoronary syndrome
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In-Hospital and One-Year Outcomes of Patients after Early and Late Resuscitated Cardiac Arrest Complicating Acute Myocardial Infarction—Data fr…

2022

The prognostic role of early (less than 48 h) resuscitated cardiac arrest (ErCA) complicating acute myocardial infarction (AMI) is still controversial. The present study aimed to analyse the short-term and one-year outcomes of patients after ErCA and late resuscitated cardiac arrest (LrCA) compared to patients without cardiac arrest (CA) complicating AMI. Data from the prospective nationwide Polish Registry of Acute Coronary Syndromes (PL-ACS) were used to assess patients with resuscitated cardiac arrest (rCA) after AMI. Baseline clinical characteristics and the predictors of all-cause death were assessed. The all-cause mortality rate, complications, performed procedures, and re-hospitalisa…

cardiac rehabilitationsecondary prevention of sudden cardiac deathdiabetes mellitus; ejection fraction; heart failure; myocardial infarctionlife-threatening ventricular arrhythmiaRMedicineacute coronary syndrome; cardiac rehabilitation; sudden cardiac death; life-threatening ventricular arrhythmia; early and late cardiac arrest; secondary prevention of sudden cardiac deathGeneral Medicineearly and late cardiac arrestsudden cardiac deathacute coronary syndromeJournal of Clinical Medicine; Volume 11; Issue 3; Pages: 609
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Antithrombotic Therapy in Elderly Patients with Acute Coronary Syndromes

2022

The treatment of acute coronary syndrome (ACS) in elderly patients continues to be a challenge because of the characteS.G.B.ristics of this population and the lack of data and specific recommendations. This review summarizes the current evidence about critical points of oral antithrombotic therapy in elderly patients. To this end, we discuss the peculiarities and differences reported referring to dual antiplatelet therapy (DAPT) in ACS management in elderly patients and what might be the best option considering these population characteristics. Furthermore, we analyze antithrombotic strategies in patients with atrial fibrillation (AF), with a particular focus on those cases that also presen…

clopidogrelHeart diseasesGerontologíaEnfermedad cardiovascularGeneral MedicineCardiologíaClorhidrato de prasugrelelderlyantiplatelet therapyMalalties del coracute coronary syndromeprasugrelticagrelorAnticoagulants (Medicina)Síndrome coronario agudoAnticoagulants (Medicine)
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Increased plasma levels of fibrinogen in acute and chronic ischemic coronary syndromes.

1999

BACKGROUND: The aim of this study was to evaluate the pathophysiological role of fibrinogen in patients with chronic or acute ischemic coronary syndromes on the basis of epidemiological and clinical evidences showing the importance of fibrinogen as a risk factor for cardiovascular diseases and atherosclerosis progression. METHODS: We evaluated the behavior of plasma fibrinogen in 310 hospitalized patients with 1) acute myocardial infarction (n = 98); 2) unstable angina (n = 87); 3) chronic ischemic heart disease (n = 75); and 4) in controls without myocardial ischemia (n = 50). Fibrinogen was evaluated, by using the Clauss method, on day 1 and 5 during in hospital-stay and at 6-month follow…

fibrinogen coronary syndrome ischemia chronic coronary syndrome acute coronary syndrome
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Factors affecting short- and long-term survival of patients with acute coronary syndrome treated invasively using intravascular ultrasound and fracti…

2023

Background: Intravascular ultrasound (IVUS) and fractional flow reserve (FFR) are invasive procedures increasingly used in acute coronary syndrome (ACS). Aims: The aim of this study was to evaluate the prevalence of IVUS and FFR use in patients with ACS in Poland and to assess the safety of these procedures, as well as their impact on short- and long-term survival. Methods and results: The retrospective study included 103849 patients enrolled in the PL-ACS registry in 2017-2020. IVUS was performed in 1,727 patients, FFR in 1,537 patients, both procedures in 37 patients. The frequency of performing FFR in ACS over the years increased from 1.3% to 1.8% (p <0.0001) and IVUS from 1.7% to 2.3% (…

fractional flow reservecoronary artery diseaseacute coronary syndromeintravascular ultrasoundKardiologia Polska
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