Acute Coronary Syndrome

Clinical Challenge: Young Woman With Arm Numbness and Shortness of Breath

Clinical Challenge: Young Woman With Arm Numbness and Shortness of Breath

A young patient presents with an increased heart rate that skipped a beat, shortness of breath, and tingling and numbness down her right arm.

Cardiac Rehabilitation: Changes, Challenges, and Clinician Perspectives

Cardiac Rehabilitation: Changes, Challenges, and Clinician Perspectives

By

An overview of cardiac rehabilitation use plus interviews with Monica Mukherjee, MD, MPH, FACC, FASE and with Jonathan Ledyard, MS, RCEP.

Early vs Delayed Invasive Strategy in Non-ST-Elevation Acute Coronary Syndromes

Early vs Delayed Invasive Strategy in Non-ST-Elevation Acute Coronary Syndromes

By

In patients with non-ST-elevation acute coronary syndromes, an early invasive treatment strategy does not significantly reduce mortality rates.

Smoking Cessation Medication Use Low Following MI

Smoking Cessation Medication Use Low Following MI

Following myocardial infarction, few patients take smoking cessation medications.

Elevated High-Sensitivity Troponin T in Afib May Not Increase Coronary Event Risk

Elevated High-Sensitivity Troponin T in Afib May Not Increase Coronary Event Risk

By

Patients with atrial fibrillation but without known coronary artery disease may not be at an increased risk for coronary events, despite elevated high-sensitivity troponin T levels.

Herpes Zoster May Increase Risk of Myocardial Infarction, Stroke

Herpes Zoster May Increase Risk of Myocardial Infarction, Stroke

Herpes zoster may be linked to increased cardiovascular events risk.

Metformin May Prevent Apoptotic Events Prior to Ischemic Reperfusion Injury

Metformin May Prevent Apoptotic Events Prior to Ischemic Reperfusion Injury

Metformin maintained cell viability and membrane stability of H9C2 cardiomyoblast cells after ischemic injury.

Acute Myocardial Infarction Risk Up Following Respiratory Infection

Acute Myocardial Infarction Risk Up Following Respiratory Infection

The risk of acute myocardial infarction increases in patients after a respiratory infection.

Acute Myocardial Infarction Risk May Increase With Use of NSAIDs

Acute Myocardial Infarction Risk May Increase With Use of NSAIDs

NSAIDs increase myocardial infarction risk by 20% to 50%.

Chronic Angina Therapy Gets Fast Track Designation From FDA

Chronic Angina Therapy Gets Fast Track Designation From FDA

By

XyloCor's XC001 is a potential therapy for patients with chronic angina.

Ischemic Outcomes in Acute Coronary Syndrome Not Affected by Gender

Ischemic Outcomes in Acute Coronary Syndrome Not Affected by Gender

Gender has no effect on the outcome of acute coronary syndrome patients undergoing percutaneous coronary intervention receiving clopidogrel, prasugrel, or ticagrelor.

Unstable Angina Benefits From Angiography

Unstable Angina Benefits From Angiography

Using routine invasive coronary angiography is beneficial for managing unstable angina.

Are Post-Op hsTnT and 30-day Mortality Linked in Noncardiac Sx?

Are Post-Op hsTnT and 30-day Mortality Linked in Noncardiac Sx?

High postoperative high-sensitivity troponin T levels are linked to an increased risk of 30-day mortality in patients undergoing noncardic surgery.

HEART Score Impact for Patients with Chest Pain in ED

HEART Score Impact for Patients with Chest Pain in ED

Using the History, Electrocardiogram, Age, Risk factors, and initial Troponin (HEART) score is safe but has a limited effect on health care resource among emergency room patients with chest pain.

Single High-Sensitivity Cardiac Troponin T Measurement Could Rule Out Acute Myocardial Infarction

Single High-Sensitivity Cardiac Troponin T Measurement Could Rule Out Acute Myocardial Infarction

By

Sensitivity of the acute myocardial infarction risk classification ranged from 87.5% to 100%, and the pooled sensitivity estimate was 98.7%.

Stroke and MI Rates Have Decreased Since Trans Fatty Acid Restrictions Enacted

Stroke and MI Rates Have Decreased Since Trans Fatty Acid Restrictions Enacted

By

Compared with New York counties without trans fatty acid restrictions, those with restrictions showed a significantly greater decline in combined myocardial infarction and stroke events.

Cardiac Magnetic Resonance Improves Diagnosis in Cardiac Arrest Survivors

Cardiac Magnetic Resonance Improves Diagnosis in Cardiac Arrest Survivors

By

Cardiac magnetic resonance was superior to transthoracic echocardiogram in identifying a pathologic substrate in patients with out-of-hospital cardiac arrest.

NSTE-ACS: Early vs Selective Strategy for Reducing Spontaneous MI

NSTE-ACS: Early vs Selective Strategy for Reducing Spontaneous MI

Researchers saw no significant difference in 10-year death or spontaneous MI for early invasive vs selective strategy.

Case Study: Differential Diagnosis of Chest Pain With Radiation to the Neck

Case Study: Differential Diagnosis of Chest Pain With Radiation to the Neck

A man presents to an urgent care clinic with radiating chest pain. What's the most likely diagnosis?

Atrial Fibrillation Associated With Higher Mortality in STEMI

Atrial Fibrillation Associated With Higher Mortality in STEMI

By

Atrial fibrillation was associated with a higher risk of adjusted in-hospital mortality and bleeding complications after both PCI and CABG.

Women With STEMI Experience Treatment Delays

Women With STEMI Experience Treatment Delays

By

Women with ST-segment elevation myocardial infarction often experience prehospital delays to reperfusion.

Elevated Mortality Risk in Women With Acute Coronary Syndrome

Elevated Mortality Risk in Women With Acute Coronary Syndrome

By

Data from almost 15,000 patients were analyzed to determine the links among age, acute coronary syndrome severity, and 30-day mortality.

Acute Coronary Syndrome Risk Reduced With Pioglitazone in Insulin Resistance Post-Stroke

Acute Coronary Syndrome Risk Reduced With Pioglitazone in Insulin Resistance Post-Stroke

By

Pioglitazone reduced the risk of acute coronary syndromes, including type 1 myocardial infarction.

ST-Segment Elevation Myocardial Infarction Symptom Presentation With Diabetes

ST-Segment Elevation Myocardial Infarction Symptom Presentation With Diabetes

By

Patients with diabetes presented with ST-segment elevation myocardial infarction symptoms, on average, 50 minutes later than patients without diabetes.

Incidence of Cardiogenic Shock in ST-Segment Elevated Myocardial Infarction

Incidence of Cardiogenic Shock in ST-Segment Elevated Myocardial Infarction

By

In-hospital mortality was elevated among those who presented with cardiogenic shock during their index hospitalization.

No Increased Short-term Risk of MI, Stroke With DPP-4i vs Sulfonylureas/Thiazolidinediones

No Increased Short-term Risk of MI, Stroke With DPP-4i vs Sulfonylureas/Thiazolidinediones

Medicare beneficiaries did not experience an increased risk of myocardial infarction or stroke with DPP-4i therapy comapred to sulfonylureas and thiazolidinediones.

Intensive Care Unit Overuse Common in Patients With Heart Disease

Intensive Care Unit Overuse Common in Patients With Heart Disease

Examination of over 1 million Medicare records found that the intensive care unit was overused for patients with heart and lung conditions.

Acute MI Trends in Renal Transplant Recipients

Acute MI Trends in Renal Transplant Recipients

Renal transplant recipients accounted for 0.2% of acute myocardial infarction admissions.

Using Telemetry Outside of Cardiac Indications

Using Telemetry Outside of Cardiac Indications

More than 20% of patients are undergoing telemetry for noncardiac indications.

Effects of Vitamin D on High-Intensity Statin Therapy for Coronary Artery Disease

Effects of Vitamin D on High-Intensity Statin Therapy for Coronary Artery Disease

By

Significantly decreased platelet reactivity occurred in patients who were given a new statin or an increased dose of a previous statin.

Sign Up for Free e-Newsletters