MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Acute Cardiac Care' source. Thu, 18 Mar 2010 13:56:57 +0100 http://www.medworm.com/index.php?rid=3338615&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20201655%26dopt%3DAbstract Authors: Beyar R PMID: 20201655 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3338615 Mon, 01 Mar 2010 00:00:00 +0100 3338615 http://www.medworm.com/index.php?rid=3338614&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20201656%26dopt%3DAbstract Conclusions: CS on admission is an important determinant of treatment strategy selection and is associated with unfavorable prognosis of ACS patients admitted to hospitals without on-site invasive facilities. PMID: 20201656 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3338614 Mon, 01 Mar 2010 00:00:00 +0100 3338614 http://www.medworm.com/index.php?rid=3338613&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20201657%26dopt%3DAbstract CONCLUSION: In this single centre registry study of unselected patients with STEMI early given abciximab was associated with a significantly higher rate of TIMI 2-3 flow compared to abciximab given after the acute angiography. PMID: 20201657 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3338613 Mon, 01 Mar 2010 00:00:00 +0100 3338613 http://www.medworm.com/index.php?rid=3338612&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20201658%26dopt%3DAbstract We reported that a certain number of clinical studies in ACS considered these methods but provided poor evidence, since their lack of standardization. The main drawback of multiplex arrays lies in the cross-reactions between the array antibodies with the reagents of co-detected analytes and with the sample matrix proteins. This cross-reactivity rises as the increasing number of markers assayed in the same plate. We have shown that these multiplex arrays were employed to screen markers potentially involved in the disease, among a wide spectrum of proteins, without a preliminary robust biological hypothesis. The need of up-to-date biostatistical approaches is stressed. Researchers should address their efforts to build up and standardize sub-microarrays measuring a lower number of markers tha... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3338612 Mon, 01 Mar 2010 00:00:00 +0100 3338612 http://www.medworm.com/index.php?rid=3338611&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20201659%26dopt%3DAbstract We describe a case of HES associated myocarditis mimicking a non-ST elevation MI (NSTEMI). Unlike myocarditis in general, our patient responded well to high dose methylprednisone, the standard of care in HES. We review the clinical presentation, pathophysiology, pathology and treatment of eosinophilic myocarditis related to HES. PMID: 20201659 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3338611 Mon, 01 Mar 2010 00:00:00 +0100 3338611 http://www.medworm.com/index.php?rid=3076230&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995259%26dopt%3DAbstract Authors: Beyar R PMID: 19995259 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076230 Fri, 11 Dec 2009 04:20:03 +0100 3076230 http://www.medworm.com/index.php?rid=3076229&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995260%26dopt%3DAbstract Authors: Taglieri N, Di Mario C Primary percutaneous coronary intervention (PPCI) is the treatment of choice for patients with ST segment elevation myocardial infarction (STEMI). In the attempt to reduce the unfavourable effects of time delays before PPCI, the administration of thrombolysis has been advocated (facilitated-PCI), but this treatment was shown to be ineffective and harmful, and should be avoided in patients who can receive PPCI promptly. Fibrinolysis is still indicated when PPCI is not available within 90-120 min but 1/3 of STEMI patients undergoing fibrinolysis does not show signs of reperfusion and even when reperfusion is achieved they have a considerable risk of death and recurrent MI. Thus invasive management with early PCI could be complementary to fibrinolysis both ... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076229 Fri, 11 Dec 2009 04:20:03 +0100 3076229 http://www.medworm.com/index.php?rid=3076228&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995261%26dopt%3DAbstract CONCLUSIONS: According to our results NR patients with STEMI, despite their higher risk profile, were less likely to receive the recommended drugs at discharge compared to patients treated with pPCI. PMID: 19995261 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076228 Fri, 11 Dec 2009 04:20:03 +0100 3076228 http://www.medworm.com/index.php?rid=3076227&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995262%26dopt%3DAbstract CONCLUSION: The use of computerized acoustic cardiography to detect an S3 or S4 may augment the ECG detection of ischemia. PMID: 19995262 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076227 Fri, 11 Dec 2009 04:20:03 +0100 3076227 http://www.medworm.com/index.php?rid=3076226&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995263%26dopt%3DAbstract CONCLUSION: Patients with STEMI treated with PPCI who remained in Killip class I after the procedure and receive optimal pharmacological treatment have an excellent prognosis. All of them can probably be admitted safely to a step-down unit. Wide application of this management strategy may result in substantial cost savings. PMID: 19995263 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076226 Fri, 11 Dec 2009 04:20:03 +0100 3076226 http://www.medworm.com/index.php?rid=3076225&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19995264%26dopt%3DAbstract Authors: Kaneda H, Shiono T, Saito S PMID: 19995264 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3076225 Fri, 11 Dec 2009 04:20:03 +0100 3076225 http://www.medworm.com/index.php?rid=3034511&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19929264%26dopt%3DAbstract This study show for the first time that levosimendan has no direct detrimental effect on the sympathetic nervous system. PMID: 19929264 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3034511 Mon, 23 Nov 2009 00:00:00 +0100 3034511 http://www.medworm.com/index.php?rid=3034510&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19929265%26dopt%3DAbstract Authors: Ito S, Hashimoto G, Hara H, Nakamura M PMID: 19929265 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=3034510 Mon, 23 Nov 2009 00:00:00 +0100 3034510 http://www.medworm.com/index.php?rid=2944606&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19863436%26dopt%3DAbstract Authors: Beyar R PMID: 19863436 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2944606 Sat, 31 Oct 2009 10:26:02 +0100 2944606 http://www.medworm.com/index.php?rid=2782934&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19742351%26dopt%3DAbstract Conclusion: In this study on patients with NSTE-ACS, women were less likely to be admitted to coronary care units. However, the overall treatment was as intensive for women as for men. Moreover, after adjustment, one-year mortality was lower in women. PMID: 19742351 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2782934 Tue, 08 Sep 2009 23:00:00 +0100 2782934 http://www.medworm.com/index.php?rid=2782933&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19742352%26dopt%3DAbstract Conclusions: NT-proBNP is an independent predictor of in-hospital and 30-day mortality after ACS, independently of left ventricular function, but does not increase the prognostic accuracy of GRS. PMID: 19742352 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2782933 Tue, 08 Sep 2009 23:00:00 +0100 2782933 http://www.medworm.com/index.php?rid=2782932&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19742353%26dopt%3DAbstract Authors: Georgiadou P, Karavolias G, Sbarouni E, Adamopoulos S, Malakos J, Voudris V The present study reports the incidence, management and clinical outcome of coronary perforations in 5 of 2991 patients (0.1%) undergoing percutaneous coronary intervention, with non-debulking (percutaneous transluminal coronary angioplasty and stent) techniques. There was 1 type I, 1 type II and 3 type III perforations. One perforation was guidewire related, 2 perforations occurred after stent deployment and two occurred during stent-post dilatation with balloons. Restoration was obtained by prolong balloon inflation in three cases. Subsequent cardiac tamponade occurred in 2 patients, requiring pericardiocentesis. One patient died in the cath lab. due to electromechanical dissociation. At follow-up, 3... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2782932 Tue, 08 Sep 2009 23:00:00 +0100 2782932 http://www.medworm.com/index.php?rid=2782931&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19742354%26dopt%3DAbstract This article aims to describe the current and the prospective role of MCS in the treatment of AHF. The support strategies and the indications of MCS are continuously evolving, including situations considered as contraindications in the past. Appropriate patient selection, advanced device technology and improved patient management have contributed to the substantially improved results. Evolution in device technology results in evolution of the clinical applications of MCS. Earlier application of MCS, with novel, flexible and individualized support strategies is now feasible. Bridging to recovery is the most intriguing support strategy and bridging to future treatments is feasible with long-term support. The progressively expanding role of MCS in the treatment of heart failure is not reflect... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2782931 Tue, 08 Sep 2009 23:00:00 +0100 2782931 http://www.medworm.com/index.php?rid=2762585&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722112%26dopt%3DAbstract Authors: Cokkinos P Post-resuscitation care is coming increasingly into focus. The patient with a return in spontaneous circulation (ROSC) often presents with a post-arrest 'sepsis-like syndrome', which requires a multidisciplinary implementation of timely reperfusion, proper inotropic support and monitoring, glucose control, therapeutic hypothermia, and adequate sedation in the intensive care unit (ICU). Low tidal volume (6 ml/kg) ventilation is preferred, and the standard vasopressor treatment of dobutamine, dopamine, and norepinephrine can be used to improve the patient's haemodynamic profile. Coronary revascularization should be attempted where there is evidence of ST-segment elevation myocardial infarction (STEMI), even in comatose patients. The recently published TROICA trial did... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2762585 Sun, 30 Aug 2009 23:00:00 +0100 2762585 http://www.medworm.com/index.php?rid=2530282&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19353405%26dopt%3DAbstract Conclusion: The hemodynamic benefit conferred by LEVO added to catecholamines in patients with CS after acute MI was limited to patients with high SVR. PMID: 19353405 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530282 Sat, 27 Jun 2009 14:18:03 +0100 2530282 http://www.medworm.com/index.php?rid=2530280&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19384675%26dopt%3DAbstract This report represents a summary of the presentation at this meeting. PMID: 19384675 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530280 Sat, 27 Jun 2009 14:18:03 +0100 2530280 http://www.medworm.com/index.php?rid=2530279&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19391052%26dopt%3DAbstract Conclusions: In clinical practice STEMI and NSTEMI seem to occur with similar frequency. Invasive strategies were applied in a high percentage in both groups, however with different therapeutic consequences. In-hospital mortality was twice as high in STEMI compared to NSTEMI patients. PMID: 19391052 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530279 Sat, 27 Jun 2009 14:18:03 +0100 2530279 http://www.medworm.com/index.php?rid=2530278&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19396641%26dopt%3DAbstract Authors: Beyar R PMID: 19396641 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530278 Sat, 27 Jun 2009 14:18:03 +0100 2530278 http://www.medworm.com/index.php?rid=2530277&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19396642%26dopt%3DAbstract Authors: Peacock WF, Fonarow GC, Ander DS, Collins SP, Gheorghiade M, Kirk JD, Filippatos G, Diercks DB, Trupp RJ, Hiestand B, Amsterdam EA, Abraham WT, Amsterdam EA, Dodge G, Gaieski DF, Gurney D, Hayes CO, Hollander JE, Holmes K, Januzzi JL, Levy P, Maisel A, Miller CD, Pang PS, Selby E, Storrow AB, Weintraub NL, Yancy CW, Bahr RD, Blomkalns AL, McCord J, Nowak RM, Stomel RJ PMID: 19396642 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530277 Sat, 27 Jun 2009 14:18:03 +0100 2530277 http://www.medworm.com/index.php?rid=2530276&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19396643%26dopt%3DAbstract CONCLUSIONS: The evaluated FAA obtained accurate, clinically relevant results for left ventricular volumes and LVEF relative to the RS. PMID: 19396643 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530276 Sat, 27 Jun 2009 14:18:03 +0100 2530276 http://www.medworm.com/index.php?rid=2530275&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19449237%26dopt%3DAbstract Conclusion: Creatinine clearance on admission is strongly associated with one year mortality in STEMI patients with CS on admission and treated with PCI. PMID: 19449237 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530275 Sat, 27 Jun 2009 14:18:03 +0100 2530275 http://www.medworm.com/index.php?rid=2530273&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452340%26dopt%3DAbstract Authors: Van 't Hof AW, Zijlstra F PMID: 19452340 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530273 Sat, 27 Jun 2009 14:18:03 +0100 2530273 http://www.medworm.com/index.php?rid=2530270&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526381%26dopt%3DAbstract Authors: Beyar R PMID: 19526381 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530270 Sat, 27 Jun 2009 14:18:03 +0100 2530270 http://www.medworm.com/index.php?rid=2530269&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526382%26dopt%3DAbstract This report represents a summary of the presentation at this meeting. PMID: 19526382 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530269 Sat, 27 Jun 2009 14:18:03 +0100 2530269 http://www.medworm.com/index.php?rid=2530268&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526383%26dopt%3DAbstract Authors: Vrints CJ The no-reflow phenomenon occurs in about one third of the patients treated with primary PCI for acute ST segment elevation myocardial infarction. Our understanding of its pathophysiology has expanded considerably: in addition of the effect of prolonged ischaemia also reperfusion injury contributes significantly to the microvascular damage in the perfusion territory of the infarct-related coronary artery. Lethal reperfusion injury to both the endothelial cells and the cardiomyocytes is mainly related to the effects of oxidative stress and the energy paradox. Paradoxical vasoconstriction caused by endothelial dysfunction, plugging of the capillaries by endothelial blebs and by packed neutrophils and mechanical compression by myocardial oedema all related to the reperfu... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530268 Sat, 27 Jun 2009 14:18:03 +0100 2530268 http://www.medworm.com/index.php?rid=2530267&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526384%26dopt%3DAbstract Authors: Harinstein ME, Filippatos GS, Gheorghiade M Acute heart failure syndromes (AHFS) resulting in hospitalization are associated with an extremely high post-discharge mortality and readmission rate. There are several important prognostic factors, which includes blood pressure, body weight, renal function, QRS duration, and presence of coronary artery disease. The epidemiology of AHFS, prognostic factors and therapeutic targets were discussed at the 2008 European Society of Cardiology Working Group on Acute Cardiac Care Meeting held in Versailles, France from 25-28 October 2008. This is a brief summary of the lectures presented on these topics at this meeting. PMID: 19526384 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530267 Sat, 27 Jun 2009 14:18:03 +0100 2530267 http://www.medworm.com/index.php?rid=2530266&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526385%26dopt%3DAbstract Conclusion: In this study, the GPIIIa PlA2 polymorphism was frequent (27.5%), but the homozygous variant was very infrequent (0.5%). The presence of PLA2 had no influence on peri-procedural or one-year clinical outcomes. PMID: 19526385 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530266 Sat, 27 Jun 2009 14:18:03 +0100 2530266 http://www.medworm.com/index.php?rid=2530265&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526386%26dopt%3DAbstract Conclusions: The international standardization and sharing/merging of databases is feasible. This model opens the way to important applications in internationally shared health care policies. PMID: 19526386 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530265 Sat, 27 Jun 2009 14:18:03 +0100 2530265 http://www.medworm.com/index.php?rid=2530264&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19526387%26dopt%3DAbstract Authors: PMID: 19526387 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530264 Sat, 27 Jun 2009 14:18:03 +0100 2530264 http://www.medworm.com/index.php?rid=2530261&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19557556%26dopt%3DAbstract Conclusions: Patients who had mini AVR had a significantly lower incidence of LLLA in the cardiac ICU than patients who had AVR through a full sternotomy. PMID: 19557556 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530261 Tue, 23 Jun 2009 23:00:00 +0100 2530261 http://www.medworm.com/index.php?rid=2530263&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19548129%26dopt%3DAbstract Conclusions: Acute hyperglycemia on admission does not predict the occurrence of SR in a general population of patients with acute MI. PMID: 19548129 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530263 Sun, 21 Jun 2009 23:00:00 +0100 2530263 http://www.medworm.com/index.php?rid=2530262&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19548130%26dopt%3DAbstract Authors: Neuzil P, Kmonicek P, Skoda J, Reddy VY Cardiogenic shock remains the leading cause of mortality among patients admitted for acute myocardial infarction (AMI). Percutaneous left ventricular assist devices (pVAD) represent one possible means of supporting these critically ill patients during interventional procedures. Tandem Heart is one such pVAD, which uses transseptal cannulation and a paracorporal centrifugal pump to maintain active circulation to the descending aorta. Despite its overall effectiveness in clinical use, the use of the Tandem Heart has several potential limitations, including a contraindication for patients with peripheral artery disease. This case report describes the successful use of the Tandem Heart in one such patient requiring a high-risk coronary inter... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530262 Sun, 21 Jun 2009 23:00:00 +0100 2530262 http://www.medworm.com/index.php?rid=2530274&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452339%26dopt%3DAbstract This report also emphasizes, that as opposed to manufactures instructions and all previous manuscripts, GraftMaster can be easily deployed via conventional 6F guiding catheters with internal diameter 0.070 inch (1.8 mm). PMID: 19452339 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530274 Sun, 17 May 2009 23:00:00 +0100 2530274 http://www.medworm.com/index.php?rid=2530272&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452341%26dopt%3DAbstract Authors: Peacock WF, Soto-Ruiz KM Many professional societies publish acute intervention guidelines, and most are predicated on the knowledge of an accurate diagnosis. In the emergency department patients do not arrive with a diagnosis, rather they present with symptoms that must be evaluated in the context of their estimated illness severity. Unique to emergency medicine practice, and within a relatively short time frame, all emergency patients must go somewhere else. Appropriate dispositions may be home, admission to a chest pain center, hospitalization to a regular medical floor, or transfer to an intensive care unit, but they cannot stay in the emergency department. This disposition process must occur, even in the setting of great diagnostic uncertainty. Since an accurate diagnosis... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530272 Sun, 17 May 2009 23:00:00 +0100 2530272 http://www.medworm.com/index.php?rid=2530271&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452342%26dopt%3DAbstract We describe three cases of successful PCI to right coronary arteries with anomalous origin (two from the left sinus of Valsalva, one with ectopic origin from the right sinus of Valsalva) using 3DRCA guide catheters after a variety of other catheters were tried unsuccessfully. PMID: 19452342 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530271 Sun, 17 May 2009 23:00:00 +0100 2530271 http://www.medworm.com/index.php?rid=2530281&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19384674%26dopt%3DAbstract Authors: Anselmino M, Omede P, Amellone C, Ravera L, Sheiban I PMID: 19384674 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2530281 Mon, 20 Apr 2009 23:00:00 +0100 2530281 http://www.medworm.com/index.php?rid=2304516&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19337937%26dopt%3DAbstract We report the case of a 50-year-old body-builder Caucasian man with a long-standing abuse of nandrolone and erythropoietin that developed a ventricular septal defect following acute myocardial infarction. This mechanical complication led to cardiogenic shock ultimately treated with the implantation of a circulatory support by means of extracorporeal membrane oxygenation. The patient subsequently underwent orthotopic heart transplantation. The association of intense isometric exercise, abuse of erythropoietin and nandrolone is likely to have predisposed to coronary thrombus formation and acute myocardial infarction, as the patient presented no traditional cardiovascular risk factors. PMID: 19337937 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2304516 Wed, 01 Apr 2009 04:00:00 +0100 2304516 http://www.medworm.com/index.php?rid=2262571&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19280373%26dopt%3DAbstract Authors: Zeina AR, Makhoul N, Nachtigal A PMID: 19280373 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2262571 Wed, 11 Mar 2009 04:00:00 +0100 2262571 http://www.medworm.com/index.php?rid=2174630&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19199114%26dopt%3DAbstract Conclusion: The data presented above reveal that spontaneous coronary thrombolysis in patients with acute STEMI is associated with a preserved endothelium-dependent vasodilator response in the brachial artery. It can depend on the levels of hs-CRP, of fasting glucose, and of ACE-inhibitors from previous treatment. PMID: 19199114 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2174630 Fri, 06 Feb 2009 05:00:00 +0100 2174630 http://www.medworm.com/index.php?rid=2112819&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19148837%26dopt%3DAbstract Conclusion: Paramedics hold a range of views and perceptions of their role in delivering PHT; some of which appear to be related to age and length of experience, and actual administration of PHT. The vast majority view PHT as a positive step to providing patient care that is evidence based. PMID: 19148837 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2112819 Fri, 16 Jan 2009 05:00:00 +0100 2112819 http://www.medworm.com/index.php?rid=2054236&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19096957%26dopt%3DAbstract IMAGES IN CARDIOLOGY. Acute Card Care. 2008 Dec 18;:1-2 Authors: Chue CD, Routledge HC, Epstein AC PMID: 19096957 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2054236 Thu, 18 Dec 2008 05:00:00 +0100 2054236 http://www.medworm.com/index.php?rid=2041769&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830849%26dopt%3DAbstract Authors: PMID: 18830849 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041769 Wed, 17 Dec 2008 17:47:35 +0100 2041769 http://www.medworm.com/index.php?rid=2041768&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830850%26dopt%3DAbstract Authors: PMID: 18830850 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041768 Wed, 17 Dec 2008 17:47:35 +0100 2041768 http://www.medworm.com/index.php?rid=2041767&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830851%26dopt%3DAbstract Authors: PMID: 18830851 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041767 Wed, 17 Dec 2008 17:47:35 +0100 2041767 http://www.medworm.com/index.php?rid=2041766&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830852%26dopt%3DAbstract Authors: PMID: 18830852 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041766 Wed, 17 Dec 2008 17:47:35 +0100 2041766 http://www.medworm.com/index.php?rid=2041765&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830853%26dopt%3DAbstract Authors: PMID: 18830853 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041765 Wed, 17 Dec 2008 17:47:35 +0100 2041765 http://www.medworm.com/index.php?rid=2041764&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830854%26dopt%3DAbstract Authors: PMID: 18830854 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041764 Wed, 17 Dec 2008 17:47:35 +0100 2041764 http://www.medworm.com/index.php?rid=2041763&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18830855%26dopt%3DAbstract Authors: PMID: 18830855 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=2041763 Wed, 17 Dec 2008 17:47:35 +0100 2041763 http://www.medworm.com/index.php?rid=1992917&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19031187%26dopt%3DAbstract Authors: Beyar R, Tubaro M PMID: 19031187 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1992917 Thu, 27 Nov 2008 16:31:33 +0100 1992917 http://www.medworm.com/index.php?rid=1992916&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19031188%26dopt%3DAbstract Authors: Martinez-Selles M, Bueno H, Estevez A, De Miguel J, Munoz J, Fernandez-Aviles F We studied 100 consecutive patients with coronary angiography performed after a positive result of a non-invasive test in the chest pain unit. Mean age was 66 years. The percentage of patients without significant coronary artery disease, 1-vessel disease and multivessel disease was 35, 33, and 32%, respectively. The CPU-65 index that combines four clinical variables (comorbidity: diabetes, pain: typical, use of: aspirin, 65 years old or more) was associated with the presence of coronary artery disease, multivessel disease, and coronary revascularization. We conclude that in the chest pain unit, patients with a positive non-invasive test the rate of false positive results, one-vessel disease and mul... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1992916 Thu, 27 Nov 2008 16:31:33 +0100 1992916 http://www.medworm.com/index.php?rid=1992915&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19031189%26dopt%3DAbstract Conclusions: Among CCU patients undergoing IABP, a selective heparin strategy appears to be superior to a strategy of universal heparin use. PMID: 19031189 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1992915 Thu, 27 Nov 2008 16:31:33 +0100 1992915 http://www.medworm.com/index.php?rid=1992914&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19031190%26dopt%3DAbstract Authors: Elahi MM, Matata BM The use of cardiotomy suction (CS) in cardiopulmonary bypass (CPB) surgery is associated with a pronounced systemic inflammatory response and a resulting coagulopathy as well as exacerbating the microembolic load. However, CS is yet been employed to preserve autologous blood during on-pump surgery. Though processing CS blood with a cell saving device is considered paramount in significantly reducing the inflammatory effects, yet this might also have potential harmful effects on the outcome of the patient. Here we discuss the results of the different prospective and randomized studies to address these issue if the cell saver technique in processing CS blood before retransfusion is to establish its identity and role in the CPB surgery. PMID: 19031190 [Pub... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1992914 Thu, 27 Nov 2008 16:31:33 +0100 1992914 http://www.medworm.com/index.php?rid=1921824&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18972627%26dopt%3DAbstract Authors: Lee KW, Norell MS Cardiogenic shock is the commonest cause of death in acute myocardial infarction (AMI). Although the syndrome of cardiogenic shock complicating AMI is common to all, the spectrum of underlying pathology is broad. While thrombolysis can be attempted with inotropic support or augmentation of blood pressure with an intra-aortic balloon pump, the greatest mortality benefit is seen after urgent coronary angiography and early revascularization. The long-term SHOCK Trial six-year follow-up results confirm durability of early revascularization over medical stabilization in shock patients. Indeed, cardiogenic shock is a catheter laboratory emergency. Percutaneous left ventricular assist devices may provide an advance in the management of patients with left ventricular... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1921824 Fri, 31 Oct 2008 16:01:41 +0100 1921824 http://www.medworm.com/index.php?rid=1921823&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18972628%26dopt%3DAbstract CONCLUSIONS: Patients with PHV and ACS are a rare subgroup, more likely to be elderly with risk factors for atherosclerotic disease and to present with non-ST-segment-elevation ACS. The pathogenesis for ACS is commonly coronary atherosclerotic disease rather than PHV-derived emboli. PMID: 18972628 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1921823 Fri, 31 Oct 2008 16:01:41 +0100 1921823 http://www.medworm.com/index.php?rid=1921822&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18972629%26dopt%3DAbstract Authors: Greif M, Zwermann L, Reithmann C, Weis M Data on the use of levosimendan in patients with myocardial infarction related cardiogenic shock already under combined catecholamine treatment and intra-aortic balloon counterpulsation (IABP) are scarce. Seven consecutive patients with refractory cardiogenic shock after ST-elevation myocardial infarction, multi-organ dysfunction syndrome and under maximal intensive care (combined catecholamine treatment, IABP) were treated with levosimendan (bolus 12 microg/kg i.v., thereafter 0.1 microg/kg over 24 h). Hemodynamic effects were registered invasively and monitored over 72h post infusion. Therapy with levosimendan significantly reduced required epinephrine dose after 48h (P=0.02 versus baseline). Norepinephrine dose had to be increased du... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1921822 Fri, 31 Oct 2008 16:01:41 +0100 1921822 http://www.medworm.com/index.php?rid=1921821&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18972630%26dopt%3DAbstract Authors: Cohen R, Sfaxi A, Foucher R, Folliguet T, Domniez T, Elhadad S PMID: 18972630 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1921821 Fri, 31 Oct 2008 16:01:41 +0100 1921821 http://www.medworm.com/index.php?rid=1921820&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18972631%26dopt%3DAbstract Authors: Kaid KA, Chen C PMID: 18972631 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1921820 Fri, 31 Oct 2008 16:01:41 +0100 1921820 http://www.medworm.com/index.php?rid=1816487&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18803073%26dopt%3DAbstract Authors: Beyar R PMID: 18803073 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1816487 Tue, 23 Sep 2008 19:34:04 +0100 1816487 http://www.medworm.com/index.php?rid=1816486&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18803074%26dopt%3DAbstract Conclusion: According to our experiences, the use of DES in STEMI is safe and effective as compared to BMS. DES was effective in reducing the incidence of restenosis outcomes and overall adverse cardiac events up to 12 months. PMID: 18803074 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1816486 Tue, 23 Sep 2008 19:34:04 +0100 1816486 http://www.medworm.com/index.php?rid=1816485&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18803075%26dopt%3DAbstract Authors: Chen JP PMID: 18803075 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1816485 Tue, 23 Sep 2008 19:34:04 +0100 1816485 http://www.medworm.com/index.php?rid=1783649&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18781448%26dopt%3DAbstract We describe the use of biochemical markers in the pre-hospital setting with regard to diagnostic accuracy for the detection of an acute myocardial infarction (AMI) and for prognosis in connection with acute chest pain. The sensitivity has been reported to be limited; blood sampling occurs very early and often prior to the release of biochemical markers into the circulation. The specificity was in some studies also limited, but this is more difficult to explain. New biochemical markers like human heart fatty acid binding protein (H-FACB) have shown improved diagnostic accuracy, in the pre-hospital setting, in one small pilot study compared with traditional biochemical markers like troponins, creatine kinase (CK-MB) and myoglobin. However, in a recent small study, the sensitivity for troponi... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1783649 Tue, 09 Sep 2008 04:00:00 +0100 1783649 http://www.medworm.com/index.php?rid=1727091&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18720086%26dopt%3DAbstract We report on the use of argatroban, a new direct thrombin inhibitor in 4 patients with intracardiac thrombi. Therapy was effective in all patients with complete resolution of thrombi. Treatment was complicated by recurrent strokes with complete neurological recovery in one patient. Therapy of intracardiac thrombi by argatroban is safe and effective. The drug requires no dosage adjustments for age, sex, or renal impairment, including in dialysis-dependent patients. Argatroban has been found to increase predictably activated partial thromboplastin time (aPTT) and activated clotting time (ACT) in a dose-dependent manner. PMID: 18720086 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1727091 Tue, 12 Aug 2008 04:00:00 +0100 1727091 http://www.medworm.com/index.php?rid=1727090&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18720087%26dopt%3DAbstract Conclusion: Inotrope administration is a marker of increased mortality in patients with acute heart failure. Still, the use of a single inotrope during hospital stay seems rather safe. PMID: 18720087 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1727090 Fri, 08 Aug 2008 04:00:00 +0100 1727090 http://www.medworm.com/index.php?rid=1572766&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851975%26dopt%3DAbstract Authors: Crean AM, Kilcullen N, Younger JF PMID: 17851975 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572766 Thu, 03 Jul 2008 16:50:53 +0100 1572766 http://www.medworm.com/index.php?rid=1572764&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851977%26dopt%3DAbstract CONCLUSION: Esophageal reflux is common in patients with UA and established CAD. As reflux-related chest pain may imitate angina pectoris, it is clinically important that gastroesophageal examination in patients with UA seems to be feasible and well tolerated in the 'acute setting'. PMID: 17851977 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572764 Thu, 03 Jul 2008 16:50:53 +0100 1572764 http://www.medworm.com/index.php?rid=1572758&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924227%26dopt%3DAbstract CONCLUSIONS: TIMI risk score is of limited value for individual risk stratification. The presence of positive cardiac markers (troponin) appears to be a more powerful prognostic marker. PMID: 17924227 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572758 Thu, 03 Jul 2008 16:50:53 +0100 1572758 http://www.medworm.com/index.php?rid=1572757&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924228%26dopt%3DAbstract Authors: Osmancik PP, Stros P, Herman D Arrhythmias are frequent complication in patients with acute myocardial infarction (MI). The importance of accelerated idioventricular rhythm (AIVR), ventricular fibrillation or tachycardia (VF, VT), atrial fibrillation or flutter (AF) and bradycardias is considered and discussed in this review article. The value of the presence of AIVR as a marker of reperfusion is small, but in combination with other non-invasive markers (ST-segment resolution), its presence is connected with a high probability of successful reperfusion. Early ventricular arrhythmias are a serious complication of MI. However, if they are revealed and treated in time, they apparently do not represent a negative prognostic factor. Later occurred VF or VT are more a symptom of lar... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572757 Thu, 03 Jul 2008 16:50:53 +0100 1572757 http://www.medworm.com/index.php?rid=1572756&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924229%26dopt%3DAbstract CONCLUSION: Infusion of levosimendan in acute CS results in early and sustained haemodynamic improvement. Short-term haemodynamic effects compare favourably with those seen after invasive IABP placement. PMID: 17924229 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572756 Thu, 03 Jul 2008 16:50:53 +0100 1572756 http://www.medworm.com/index.php?rid=1572753&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924232%26dopt%3DAbstract CONCLUSIONS: PCT could be considered as a novel sensitive myocardial index. Its release in AMI is probably due to the inflammatory process that occurs during AMI. PMID: 17924232 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572753 Thu, 03 Jul 2008 16:50:53 +0100 1572753 http://www.medworm.com/index.php?rid=1572752&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924233%26dopt%3DAbstract CONCLUSION: In clinical practice, early therapy with clopidogrel, in addition, to aspirin in patients with NSTEMI is associated with a significant reduction of the combined endpoint of death, non-fatal reinfarction and non-fatal stroke after one year. This advantage was associated with an increase in major in-hospital bleeding complications. PMID: 17924233 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572752 Thu, 03 Jul 2008 16:50:53 +0100 1572752 http://www.medworm.com/index.php?rid=1572751&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926148%26dopt%3DAbstract Authors: Picchi A, Zaca V, Focardi M, Fineschi M, Sinicropi G, Casini S, Buti A, Pierli C, Mondillo S, Marzilli M We sought to investigate the effect of post-procedural abciximab on clinical outcome of patients presenting the no-reflow phenomenon after primary angioplasty. We retrospectively selected 38 patients who developed the no-reflow phenomenon after primary angioplasty: 18 received post-procedural abciximab, 20 age- and sex-matched patients who did not receive abciximab were considered as concurrent controls. At 6 months follow-up, the clinical course was uneventful in the abciximab group while the composite end-point of major adverse cardiac events occurred in 8 patients (40%) in the control group (P=0.009). 'Rescue' administration of abciximab is an effective option for the tr... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572751 Thu, 03 Jul 2008 16:50:53 +0100 1572751 http://www.medworm.com/index.php?rid=1572745&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18449812%26dopt%3DAbstract Authors: Beyar R PMID: 18449812 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572745 Thu, 03 Jul 2008 16:50:53 +0100 1572745 http://www.medworm.com/index.php?rid=1572744&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18449813%26dopt%3DAbstract Authors: Lee KW, Norell MS No-reflow phenomenon, defined as inadequate myocardial perfusion of the adequately dilated target vessel without evidence of angiographic mechanical obstruction. It is a multifactorial, well-recognised, secondary phenomenon following reperfusion therapy such as thrombolysis or percutaneous coronary interventions (PCI). The pathophysiological mechanisms leading to the no-reflow state are incompletely understood. Embolization of the atheromatous material to the distal vasculature and intense arteriole vasospasm caused by microembolization of platelet-rich thrombi that release vasoactive agents resulting in microvascular obstructions are likely mechanisms. Current prophylaxis and management strategies are derived from limited clinical data. Intracoronary verapam... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572744 Thu, 03 Jul 2008 16:50:53 +0100 1572744 http://www.medworm.com/index.php?rid=1572743&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18449814%26dopt%3DAbstract We report patient with dissection of left main coronary artery, extending into the ascending aorta following diagnostic angiography and discuss the possible mechanisms. PMID: 18449814 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572743 Thu, 03 Jul 2008 16:50:53 +0100 1572743 http://www.medworm.com/index.php?rid=1572742&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18449815%26dopt%3DAbstract Authors: Hobson AR, Dawkins KD, Curzen NP Aspirin is a cornerstone of treatment in cardiovascular disease. However, individual responses vary and hyporesponsiveness has been associated with poor outcomes following percutaneous intervention. Point of care assays for detecting the effects of aspirin in individual patients would therefore be useful. Thrombelastography has been shown to correlate with optical aggregation in the assessment of antiplatelet therapies and is suitable for use as a point of care assay. We demonstrate the ability of thrombelastography to detect the profound effects of even the tiny doses of aspirin obtained by licking an aspirin tablet. PMID: 18449815 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572742 Thu, 03 Jul 2008 16:50:53 +0100 1572742 http://www.medworm.com/index.php?rid=1572741&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568568%26dopt%3DAbstract Authors: Beyar R PMID: 18568568 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572741 Thu, 03 Jul 2008 16:50:53 +0100 1572741 http://www.medworm.com/index.php?rid=1572740&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568569%26dopt%3DAbstract Authors: Han B, Ghanim D, Peleg A, Uretzky G, Hasin Y To investigate loss of systemic endothelial function post-PCI and evaluate the putative therapeutic effect of BNP. Loss of endothelial function (LEF) post-PCI may contribute to both acute and long-term complications. A protective effect of BNP on endothelium was suggested previously. Flow-mediated vasodilation (FMD) of the brachial artery, as well as plasma levels of endothelin, BNP, Pro BNP and corin were measured before and following routine PCI. 49 patients with normal baseline endothelial function were recruited. 30 patients developed LEF and were randomized to i.v. nesiritide (the commercially available recombinant form of human BNP) or saline infusion for 3 h. Patients who developed LEF post-PCI had reduced baseline plasma cor... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572740 Thu, 03 Jul 2008 16:50:53 +0100 1572740 http://www.medworm.com/index.php?rid=1572739&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568570%26dopt%3DAbstract Conclusions: Drug-eluting stent implantation to OSVG lesions achieves better clinical results than BMS but is still associated with a relatively high incidence (10.8%) of revascularization at 1-year follow-up. PMID: 18568570 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572739 Thu, 03 Jul 2008 16:50:53 +0100 1572739 http://www.medworm.com/index.php?rid=1572738&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568571%26dopt%3DAbstract CONCLUSIONS: Abciximab does not seem to have any impact on the extent of in-segment LLL in diabetic patients undergoing an elective PES implantation. PMID: 18568571 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572738 Thu, 03 Jul 2008 16:50:53 +0100 1572738 http://www.medworm.com/index.php?rid=1572737&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568572%26dopt%3DAbstract Conclusion: Clinical and angiographic restenosis outcomes following NIRFLEX stent implantation were dependent upon vessel size, lesions length, post-procedural stent lumen dimensions, and the diabetic status. PMID: 18568572 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572737 Thu, 03 Jul 2008 16:50:53 +0100 1572737 http://www.medworm.com/index.php?rid=1572736&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568573%26dopt%3DAbstract Conclusion: This case illustrates the safe and easy use of a novel plug-and-play percutaneous circulatory assist device for high risk interventions. It may be recommended for use in emergency situations. PMID: 18568573 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572736 Thu, 03 Jul 2008 16:50:53 +0100 1572736 http://www.medworm.com/index.php?rid=1572735&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568574%26dopt%3DAbstract In conclusion, there is a slightly higher concentration of oxidative stress parameters in patients with STEMI. Diminished antioxidative defense after reperfusion is associated with impaired myocardial perfusion. PMID: 18568574 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572735 Thu, 03 Jul 2008 16:50:53 +0100 1572735 http://www.medworm.com/index.php?rid=1572734&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18568575%26dopt%3DAbstract Authors: Karavolias GK, Georgiadou P, Adamopoulos S, Theodorakis GN PMID: 18568575 [PubMed - in process] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572734 Thu, 03 Jul 2008 16:50:53 +0100 1572734 http://www.medworm.com/index.php?rid=1572760&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17906987%26dopt%3DAbstract Conclusion: In this article, we provide a comprehensive descriptive review of the different means of assessment of coronary flow in the cardiac catheterization laboratory, focusing on scores deducted from angiography as well as invasive haemodynamic measurements of blood flow and pressure. PMID: 17906987 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572760 Mon, 08 Oct 2007 04:00:00 +0100 1572760 http://www.medworm.com/index.php?rid=1572755&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924230%26dopt%3DAbstract Authors: Cohen R, Sfaxi A, Foucher R, Folliguet T, Domniez T, Elhadad S PMID: 17924230 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572755 Mon, 08 Oct 2007 04:00:00 +0100 1572755 http://www.medworm.com/index.php?rid=1572761&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17906986%26dopt%3DAbstract Conclusions: Patients with ET and ACS have similar profiles to those of traditional ACS with frequent risk factors and significant coronary artery disease. Association with other thrombotic events can be seen during admission and follow-up while haemorrhagic complications seem to be rare. PMID: 17906986 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572761 Thu, 27 Sep 2007 04:00:00 +0100 1572761 http://www.medworm.com/index.php?rid=1572762&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17891673%26dopt%3DAbstract Authors: Kaid KA, Chen C PMID: 17891673 [PubMed - as supplied by publisher] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572762 Mon, 24 Sep 2007 04:00:00 +0100 1572762 http://www.medworm.com/index.php?rid=1572792&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453533%26dopt%3DAbstract Authors: Giannitsis E, Kurz K, Katus HA PMID: 17453533 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572792 Mon, 01 Jan 2007 05:00:00 +0100 1572792 http://www.medworm.com/index.php?rid=1572791&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453534%26dopt%3DAbstract CONCLUSION: The results of the trials conducted to date in AHFS have generally been disappointing. There is, therefore, an unmet need for new therapeutic approaches for the early management of AHFS that may improve the short-term and long-term outcomes. PMID: 17453534 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572791 Mon, 01 Jan 2007 05:00:00 +0100 1572791 http://www.medworm.com/index.php?rid=1572790&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453535%26dopt%3DAbstract Authors: Dragu R, Hammerman H The treatment of patients with ST elevation acute myocardial infarction (STEAMI) and renal failure (RF) represents one of the most challenging problems with which the cardiologists are faced. It has been well established that patients suffering of acute coronary syndromes with concomitant renal failure have a worse outcome as compared with those with normal renal function. Leading causes for this adverse outcome are excess comorbidities in patients with renal failure, lesser use of beneficial therapies and the unique pathophysiology involved in the diseased kidney. The entire setup of abnormalities in coagulation, fibrinolysis, platelet aggregation, lipids metabolism, endothelial function and a high inflammatory state, is responsible for the increased risk... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572790 Mon, 01 Jan 2007 05:00:00 +0100 1572790 http://www.medworm.com/index.php?rid=1572789&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453536%26dopt%3DAbstract Conclusions: In CS, early deaths < or =30 days are mainly cardiac. Non-cardiac deaths are associated with signs of inflammation. In survivors of the initial hospitalization, re-hospitalizations are due to heart failure and myocardial ischemia. PMID: 17453536 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572789 Mon, 01 Jan 2007 05:00:00 +0100 1572789 http://www.medworm.com/index.php?rid=1572788&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453537%26dopt%3DAbstract Authors: Schiele F, Seronde MF, Descotes-Genon V, Blonde MC, Legalery P, Meneveau N, Ecarnot F, Penfornis A, Ducloux D, Bassand JP Patients with impaired glucometabolic status or renal function have a higher mortality after acute myocardial infarction. It is unclear whether this higher risk is independent or related to the quality of care. In a prospective registry, stress hyperglycaemia (SH) was defined as glucose level>140 mg/dl. Renal function was assessed by the glomerular filtration rate (GFR): normal (>/=60), mild (30-60) and severe dysfunction (<30 ml/min/1.72 m(2)). The level of risk was assessed by the TIMI risk index and the quality of care by the rate of use of five guidelines-recommended treatments. Among the 1388 patients included, 23% had diabetes, 16% had SH, re... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572788 Mon, 01 Jan 2007 05:00:00 +0100 1572788 http://www.medworm.com/index.php?rid=1572787&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453538%26dopt%3DAbstract CONCLUSIONS: Women with AMI complicated by HF had higher crude mortality rate than men that was eliminated after multivariate analysis, suggesting that the higher mortality rate may be attributed to increased prevalence of risk factors and lower rate of revascularization and medical therapies among women. Women with AMI and HF should be considered as a high-risk subgroup with adverse outcome. It remains to be determined whether more intensive management will improve their prognosis. PMID: 17453538 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572787 Mon, 01 Jan 2007 05:00:00 +0100 1572787 http://www.medworm.com/index.php?rid=1572786&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453539%26dopt%3DAbstract CONCLUSIONS: In patients with ACS, significantly less calcifications were present as compared to stable CAD. Moreover, even in non-culprit vessels, multiple non-calcified plaques were detected, indicating diffuse rather than focal atherosclerosis in ACS. PMID: 17453539 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572786 Mon, 01 Jan 2007 05:00:00 +0100 1572786 http://www.medworm.com/index.php?rid=1572785&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453540%26dopt%3DAbstract CONCLUSION: We conclude that transcatheter mVSD closure with the AMSO is an efficient and safe alternative to surgery in carefully selected adult patients with native pmVSDs. PMID: 17453540 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572785 Mon, 01 Jan 2007 05:00:00 +0100 1572785 http://www.medworm.com/index.php?rid=1572784&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453541%26dopt%3DAbstract Authors: Hijazi ZM PMID: 17453541 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572784 Mon, 01 Jan 2007 05:00:00 +0100 1572784 http://www.medworm.com/index.php?rid=1572783&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453542%26dopt%3DAbstract Authors: Innasimuthu AL, Perry RA An 80 year old Chinese gentleman was admitted with NSTEACS characterized by anterior T wave inversion and raised Troponin T. His coronary angiogram showed stenosis of the proximal LAD. He underwent PCI to LAD lesion. The RCA was large and there was large collateral between, RCA and PA (fig 1,2), which was not intervened. He made good recovery and has been asymptomatic for over 2 years. Coronary artery anomalies are found in 1% of the population, RCA is the most commonly involved. Best approach would be to observe the patients, as most of them do not develop any symptoms. PMID: 17453542 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572783 Mon, 01 Jan 2007 05:00:00 +0100 1572783 http://www.medworm.com/index.php?rid=1572782&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17453543%26dopt%3DAbstract Authors: Asopa S, Elahi M Studies have implicated hemodilution during cardiopulmonary bypass (CPB) as an independent risk factor for perioperative morbidity and mortality, however, it is plausible that the variability in results so far quoted are species-specific or blood product covariate dependent. Nevertheless, obvious debate regarding the optimal degree of hemodilution during CPB with regard to patients' outcome still prevails in the modern cardiac surgery era. We agree from the reported arguments that the range of absolute differences in the perioperative hematocrit (HCT) seem more reasonable to use than individual values yet we present a new avatar of evidence in this letter regarding the optimal HCT to be used during normo/hypothermic CPB. PMID: 17453543 [PubMed - indexed fo... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572782 Mon, 01 Jan 2007 05:00:00 +0100 1572782 http://www.medworm.com/index.php?rid=1572781&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573578%26dopt%3DAbstract Authors: Filippatos G, Heras M PMID: 17573578 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572781 Mon, 01 Jan 2007 05:00:00 +0100 1572781 http://www.medworm.com/index.php?rid=1572780&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573579%26dopt%3DAbstract Authors: Kudaiberdieva G, Gorenek B Atrial fibrillation (AF) is a major arrhythmia with a high prevalence among population. AF is not uncommon in the setting of coronary artery disease, including myocardial infarction (MI) and acute coronary syndromes (ACS). Percutaneous coronary interventions (PCI) have significantly improved outcomes of patients with acute MI and acute coronary syndromes. Nevertheless, the AF was reported to occur in patients with MI and ACS undergoing PCI. New onset AF after PCI for MI and ACS, though being infrequent, was associated with worse clinical course and prognosis. The predictive value of AF has tendency to change in parallel with improvements of reperfusion strategies and comprehensive treatment. Observational studies suggest better patency of culprit ves... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572780 Mon, 01 Jan 2007 05:00:00 +0100 1572780 http://www.medworm.com/index.php?rid=1572779&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573580%26dopt%3DAbstract Authors: Elahi M, Asopa S, Khan J Aortic valve surgery is suggested when native aortic valve is diseased and complications outweigh the risks. Choice of prosthesis for aortic valve surgery is vastly undetermined, in part due to the varied options (bioprosthetic, mechanical prosthesis, homografts and allografts) available. The technical issues during valve surgery and the anticoagulation concerns along with the patient type with respect to age, ethnicity, sex and quality of life do contribute to the challenge for deciding the type of valve prosthesis best substituted to the diseased native valve. Here we attempt to unravel the controversies and present a holistic approach towards settling on the best possible prosthesis for a diseased aortic valve. PMID: 17573580 [PubMed - indexed f... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572779 Mon, 01 Jan 2007 05:00:00 +0100 1572779 http://www.medworm.com/index.php?rid=1572778&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573581%26dopt%3DAbstract CONCLUSIONS: Serum sodium improvements during hospitalization for heart failure were associated with improved survival at 60 days. PMID: 17573581 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572778 Mon, 01 Jan 2007 05:00:00 +0100 1572778 http://www.medworm.com/index.php?rid=1572777&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573582%26dopt%3DAbstract Authors: Szabo S, Zeymer U, Gitt A, Wienbergen H, Marx R, Heer T, Hoffmeister HM, Senges J, The optimal reperfusion strategy in elderly patients with ST-segment elevation myocardial infarction (STEMI) remains a topic of debate. Therefore, we investigated in the MITRA PLUS registry clinical outcome variables in 5455 patients aged>70 years and STEMI on admission at hospitals without the facilities of coronary catheterization and PCI. Outcome was compared after thrombolysis, transfer to PCI and after no reperfusion therapy. Data of this registry in STEMI patients older than 70 years, who were transferred to another hospital for PCI, showed a strong trend for lower in-hospital mortality rates compared with a strategy with sole fibrinolysis and significantly lower in hospital death rate... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572777 Mon, 01 Jan 2007 05:00:00 +0100 1572777 http://www.medworm.com/index.php?rid=1572776&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573583%26dopt%3DAbstract CONCLUSION: The use of the radial approach in elderly patients undergoing primary and rescue PCI, when successful, is safe and effective as the femoral approach, and leads to fewer vascular complications. PMID: 17573583 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572776 Mon, 01 Jan 2007 05:00:00 +0100 1572776 http://www.medworm.com/index.php?rid=1572775&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573584%26dopt%3DAbstract CONCLUSIONS: In the overall patients' collective early PCI after fibrinolysis is not associated with an improved clinical outcome. However, in patients with a higher risk profile an early invasive strategy is associated with a risk reduction for mortality and the combined endpoint of death/myocardial re-infarction. PMID: 17573584 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572775 Mon, 01 Jan 2007 05:00:00 +0100 1572775 http://www.medworm.com/index.php?rid=1572774&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573585%26dopt%3DAbstract CONCLUSION: Most cardiovascular intervention programs have restricted their activity to the coronary stenting, and are using a limited array of diagnostic and therapeutic devices, along with patient-tailored adjunctive pharmacotherapy, to sustain cost-effectiveness. Currently, ambulatory angiography and coronary interventions are not widely practiced in Israel. PMID: 17573585 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572774 Mon, 01 Jan 2007 05:00:00 +0100 1572774 http://www.medworm.com/index.php?rid=1572773&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573586%26dopt%3DAbstract Authors: Kibos A, Campeanu A, Tintoiu I In-stent restenosis reflects the interaction of a cascade of molecular and cellular events occurring within the vessel wall. Coronary stenting induces localized injury to the vessel wall, which leads to the release of thrombogenic, vasoactive, and lymphocytes mitogenic factors that result in processes causing re-narrowing at the injured site. Three major processes have been identified that lead to the in-stent restenosis: neointimal hyperplasia, elastic recoil, and negative arterial remodeling. The most important one is intimal hyperplasia. As the time course of neointimal hyperplasia is unknown, a causal relationship between the development of new blood vessels and clinical restenosis cannot be firmly established. PMID: 17573586 [PubMed - in... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572773 Mon, 01 Jan 2007 05:00:00 +0100 1572773 http://www.medworm.com/index.php?rid=1572772&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573587%26dopt%3DAbstract Authors: Ciszewski M, Kalinczuk L, Pregowski J, Witkowski A, Ruzyłło W This letter includes a case study, which shows the safety and efficacy of the intended use of Judkins guiding catheter for aspiration of excessive thrombus from the infarct-related vein graft, which is however made off-label. Guiding catheter thrombectomy offers optimal facilitation of primary angioplasty without device-related delay in time-to-treatment. Consistently, the negative results of the EMERALD are related to the significantly longer door-to-balloon time while use of the dedicated but complex devices. Interestingly, the current report is in line with the REMEDIA trial, demonstrating superior myocardial tissue reperfusion after the intracoronary thrombectomy in an unselected patient population t... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572772 Mon, 01 Jan 2007 05:00:00 +0100 1572772 http://www.medworm.com/index.php?rid=1572771&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573588%26dopt%3DAbstract Authors: Sjauw KD, Remmelink M, Lam K, Baan J, Van Der Schaaf RJ, Vis MM, Scholten EW, De Mol BA, De Winter RJ, Piek JJ, Henriques JP PMID: 17573588 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572771 Mon, 01 Jan 2007 05:00:00 +0100 1572771 http://www.medworm.com/index.php?rid=1572770&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17573589%26dopt%3DAbstract Authors: Chen JP, Balk MA Coronary angiography (Figure-1) and computerized tomographic angiography (CTA) (Figure-2) of a 61-year-old man with exertional angina demonstrated proximal compression by the great vessels of an anomalous right coronary arising from the left main trunk. A significant left anterior descending lesion was also present. The patient underwent uneventful bypass surgery. CTA is very useful for confirmation of the inter-arterial course of an aberrant coronary artery. Proposed mechanisms of sudden death include exertional coronary compression between the great vessels, with associated ostial narrowing, as well as acute angulation of the coronary course. Coronary bypass is the treatment of choice for these patients. PMID: 17573589 [PubMed - indexed for MEDLINE] (Sou... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572770 Mon, 01 Jan 2007 05:00:00 +0100 1572770 http://www.medworm.com/index.php?rid=1572769&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851972%26dopt%3DAbstract Authors: Curzen N, Hatrick R, Peebles C A young male presented 22 h following onset of symptoms with an anterior ST-elevation myocardial infarction. He was transferred for rescue angioplasty after failing to reperfuse with thrombolytic therapy. On arrival, his symptoms had settled. Following administration of intracoronary abciximab and passage of an angioplasty wire into the distal LAD, extensive thrombus was demonstrated in the left anterior descending artery extending from the ostium to the distal vessel Figure 1(a). Further intervention with attempted thrombectomy was considered but it was postponed pending a viability study because of the risks of displacing thrombus down the circumflex. A cardiac MRI scan with delayed gadolinium hyper-enhancement demonstrated the classical appear... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572769 Mon, 01 Jan 2007 05:00:00 +0100 1572769 http://www.medworm.com/index.php?rid=1572768&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851973%26dopt%3DAbstract Authors: Yalonetsky S, Schwartz Y, Roguin A, Lorber A A case of combined percutaneous coronary intervention and ostium secundum atrial septal defect closure in an elderly patient is reported. The procedure was successful and uneventful. The report demonstrates feasibility of combined percutaneous revascularization and intra- atrial shunt closure even in advanced age. PMID: 17851973 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572768 Mon, 01 Jan 2007 05:00:00 +0100 1572768 http://www.medworm.com/index.php?rid=1572767&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851974%26dopt%3DAbstract Authors: Widimsky P, Knot J Extremely long-term follow-up (24 years) of the historically first Czech myocardial infarction patient, treated by intracoronary thrombolysis, is presented. His current coronary angiography confirmed the finding 24 years ago, that this was a case of smoking-induced thrombosis in otherwise healthy coronary arteries. Experience with 76 similar cases among 4093 consecutive coronary angiograms (including 778 done acutely for STEMI) is briefly described. PMID: 17851974 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572767 Mon, 01 Jan 2007 05:00:00 +0100 1572767 http://www.medworm.com/index.php?rid=1572765&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17851976%26dopt%3DAbstract CONCLUSION: We have demonstrated that the catheter sizes did not significantly affect the TFC when angiography was performed at 12.5f/s. The use of ICGTN significantly increased the TFC in both normal and diseased coronary arteries. This effect was also observed when ICGTN was administered into the culprit vessels after the completion of the elective PCI procedure. This effect must be considered when investigating the impact of specific treatments or drugs on coronary flow. PMID: 17851976 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572765 Mon, 01 Jan 2007 05:00:00 +0100 1572765 http://www.medworm.com/index.php?rid=1572763&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17891672%26dopt%3DAbstract We present a 74-year-old female with nonischemic cardiomyopathy and an EF<20% who over 24 years since diagnosis, never developed clinical or hemodynamic congestion, was never hospitalized for HF, and never required a loop diuretic. She had all of the clinical indicators of poor prognosis in HF except for severe NH imbalance and renal failure, illustrating their importance in HF prognosis. While NH activation in HF is initially an adaptive mechanism, an imbalance of NH effectors causes congestion leading to a vicious cycle of congestion, renal dysfunction, and worsening of HF. The combination of NH activation and renal failure in HF is a vasomotor nephropathy known as the cardiorenal syndrome (CRS) and portends a poor prognosis. Pharmacological disruption of NH pathways early in HF may p... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572763 Mon, 01 Jan 2007 05:00:00 +0100 1572763 http://www.medworm.com/index.php?rid=1572759&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17917844%26dopt%3DAbstract Authors: PMID: 17917844 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572759 Mon, 01 Jan 2007 05:00:00 +0100 1572759 http://www.medworm.com/index.php?rid=1572754&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924231%26dopt%3DAbstract CONCLUSIONS: As ACS and stable CAD are characterized by different pathophysiological processes, it appears that the biomarkers that are associated with them are differently expressed in these two clinical conditions PMID: 17924231 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572754 Mon, 01 Jan 2007 05:00:00 +0100 1572754 http://www.medworm.com/index.php?rid=1572750&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926149%26dopt%3DAbstract CONCLUSION: Intramyocardial bone marrow cell transplantation in patients with chronic myocardial ischemia was not associated with significant progression of atherosclerosis. PMID: 17926149 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572750 Mon, 01 Jan 2007 05:00:00 +0100 1572750 http://www.medworm.com/index.php?rid=1572749&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926150%26dopt%3DAbstract This article reviews the current status, capabilities, limitations, and future perspectives of currently available percutaneous treatment options for mechanical cardiac assistance in acute myocardial infarction. PMID: 17926150 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572749 Mon, 01 Jan 2007 05:00:00 +0100 1572749 http://www.medworm.com/index.php?rid=1572748&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18030625%26dopt%3DAbstract Authors: Beyar R PMID: 18030625 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572748 Mon, 01 Jan 2007 05:00:00 +0100 1572748 http://www.medworm.com/index.php?rid=1572747&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18030626%26dopt%3DAbstract Authors: Schuijf JD, Jukema JW, van der Wall EE, Bax JJ Every year, a considerable number of patients present at the Emergency Department (ED) with acute chest pain complaints. In these patients, determining accurate diagnosis of acute coronary syndrome (ACS) remains clinically challenging. In general, triage is based on the initial clinical assessment including (stress) ECG and serial serum markers measurements. While management is relatively straightforward in case of ECG changes and elevated serum markers, a considerable number of patients presents with both serum markers and ECG that are either within normal limits or inconclusive. In these patients, non-invasive cardiac imaging has become an important tool in decision-making. Recently, non-invasive visualization of the coronary ar... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572747 Mon, 01 Jan 2007 05:00:00 +0100 1572747 http://www.medworm.com/index.php?rid=1572746&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18030627%26dopt%3DAbstract Authors: Innasimuthu AL, Rao GK, Wong P A left sided superior vena cava (LSVC) occurs in 0.3% of the population. LSVC normally drains into the right atrium through a dilated coronary sinus. We illustrate two cases of dual chamber permanent pacemaker implantation by using (1) left subclavian vein in a 35-year-old woman with symptomatic Mobitz type II atrioventricular block; and (2) right subclavian vein in a 64-year-old man who was hospitalized with bradycardia, complete heart block, and alternating bundle branch block. After accessing the subclavian vein, the pacing leads were advanced into the LSVC, which was situated to the left of the vertebral column in the mediastinum. The leads followed the course of the LSVC medially before entering into the right atrium. Once inside the right a... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572746 Mon, 01 Jan 2007 05:00:00 +0100 1572746 http://www.medworm.com/index.php?rid=1572833&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720424%26dopt%3DAbstract Authors: Sterz F, Behringer W, Holzer M PMID: 16720424 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572833 Sun, 01 Jan 2006 05:00:00 +0100 1572833 http://www.medworm.com/index.php?rid=1572832&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720425%26dopt%3DAbstract CONCLUSION: RT is compatible with Distal Protection Balloon Wires and results in more complete clot removal than manual aspiration with the export catheter. Although manual aspiration results in a large variation in extraction efficacy, it is most effective when direct catheter-clot contact is kept to a minimum. PMID: 16720425 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572832 Sun, 01 Jan 2006 05:00:00 +0100 1572832 http://www.medworm.com/index.php?rid=1572831&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720426%26dopt%3DAbstract Authors: Giombolini C, Notaristefano S, Santucci S, Fortunati F, Savino K, Sindaco FD, Ragni T, Allegri M, Ambrosio G Patients with severe depression of left ventricular ejection fraction and high-risk coronary lesions are at risk of developing complications during percutaneous coronary interventions (PCI). Intra-aortic balloon pump (IABP) is a support that helps the interventionalist in such hemodynamic complications during high-risk PCI, but it does not offer complete circulatory support. Instead, TandemHeart (Cardiac Assist, Pittsburg, PA, USA) is a percutaneous left ventricular assist device (pLVAD) that gives total left circulatory support and can be used for patients in cardiogenic shock or for elective PCI at high-risk. TandemHeart is a percutaneous transseptal ventricular assis... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572831 Sun, 01 Jan 2006 05:00:00 +0100 1572831 http://www.medworm.com/index.php?rid=1572830&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720427%26dopt%3DAbstract CONCLUSION: Following surgery and in case of activated leukocyte and platelet counts care must be taken in the interpretation of systemic VEGF165 levels. PMID: 16720427 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572830 Sun, 01 Jan 2006 05:00:00 +0100 1572830 http://www.medworm.com/index.php?rid=1572829&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720428%26dopt%3DAbstract CONCLUSIONS: Patients with coronary atherosclerosis possess lower levels of anti-HSP70 antibody levels. Further research is required to explore whether higher levels of anti-HSP70 antibodies have a predictive value in coronary atherosclerosis. PMID: 16720428 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572829 Sun, 01 Jan 2006 05:00:00 +0100 1572829 http://www.medworm.com/index.php?rid=1572828&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720429%26dopt%3DAbstract CONCLUSIONS: High peak NT-proBNP levels are independently associated with both proximal culprit localization and elevated biochemical markers of myocardial damage. These findings suggest that NT-proBNP levels reflect the amount of jeopardized myocardium and could signify the integral of the extent and severity of an ischemic event. PMID: 16720429 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572828 Sun, 01 Jan 2006 05:00:00 +0100 1572828 http://www.medworm.com/index.php?rid=1572827&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16720430%26dopt%3DAbstract CONCLUSION: Chronic oral administration of glycine was safe and feasible and had similar side effects compared to placebo. However, chronic oral administration of glycine did not lead to a significant reduction in restenosis rates at six months after elective PCI. PMID: 16720430 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572827 Sun, 01 Jan 2006 05:00:00 +0100 1572827 http://www.medworm.com/index.php?rid=1572826&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885069%26dopt%3DAbstract Authors: Roguin A, Grenadier E A third to half of all percutaneous coronary interventions involve small diameter vessels of less than 3 mm. Small vessel size is a predictor of restenosis after balloon angioplasty, as well as after stent placement. Stents deployed in small arteries, have a higher metal-to-artery ratio; this may increase the risk of sub-acute thrombosis or restenosis. Various studies have shown that stent design, stent coating, and stent strut thickness may determine event-free survival. Dedicated stents for small vessels with less amount of metal, appropriate expansion to the vessel size with correct radial force and cells morphology, and less prothrombotic properties, may further improve the results of stenting in this setting (thinner struts, fewer cells, or loops per... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572826 Sun, 01 Jan 2006 05:00:00 +0100 1572826 http://www.medworm.com/index.php?rid=1572825&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885070%26dopt%3DAbstract CONCLUSIONS: In the DANAMI-2 trial with no age limit, the decreased re-infarction rates in patients receiving abciximab was offset by increased disabling stroke rates. Abciximab in conjunction with pPCI is associated with more pronounced partial ST-segment resolution after 4 h to 12 h suggesting improved microvascular reperfusion. PMID: 16885070 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572825 Sun, 01 Jan 2006 05:00:00 +0100 1572825 http://www.medworm.com/index.php?rid=1572824&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885071%26dopt%3DAbstract CONCLUSIONS: Patients who underwent rescue PCI had similar short- and long-term mortality rates compared to patients treated with thrombolysis alone, despite differences in baseline characteristics. Rescue angioplasty was associated with a 15% risk reduction in mortality at 30-days, at the cost of higher rate of recurrent ischemic events and bleeding complications. Therefore, rescue angioplasty may be an equalizer in severely ill patients who receive thrombolytic therapy and fail to show signs of reperfusion. PMID: 16885071 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572824 Sun, 01 Jan 2006 05:00:00 +0100 1572824 http://www.medworm.com/index.php?rid=1572823&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885072%26dopt%3DAbstract Authors: Nair P, Gruberg L, Beyar R Coronary angiography has a poor predictive value for the detection of eccentric plaque morphology. Many reports have demonstrated discordance between the angiographic classification and the intravascular ultrasound (IVUS) classification. Although eccentricity is usually considered a dichotomous character, more than two-thirds of all coronary stenosis have some degree of eccentricity. The American College of Cardiology/American Heart Association (ACC/AHA) Task force included lesion eccentricity as a risk factor for moderate procedural success (60-85%) and moderate complications (type B). Although lesion eccentricity has been implicated as a risk factor for reduced short-term procedural results, current available data does not support the adverse impac... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572823 Sun, 01 Jan 2006 05:00:00 +0100 1572823 http://www.medworm.com/index.php?rid=1572822&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885073%26dopt%3DAbstract Authors: Iakobishvili Z, Danicek V, Porter A, Assali AR, Battler A, Hasdai D Recent studies highlighted the 'obesity paradox' after revascularization, suggesting a 'cardioprotective' effect of obesity. We assessed the association of BMI and regional wall motion score (RWMS) and peak CK and cTnI values (markers of infarct size) and 30-day survival among consecutive first ST-segment-elevation myocardial infarction patients who underwent successful primary PCI. Of the 164 patients, we found no difference in infarct size among the different groups, BMI < or = 25 kg/m2, 25 < BMI < or = 30 kg/m2, and BMI > 30 kg/m2, and no association between BMI as continuous variable and these variables. Thirty-day death rates were not statistically different among the three groups (10, 5, 2%, ... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572822 Sun, 01 Jan 2006 05:00:00 +0100 1572822 http://www.medworm.com/index.php?rid=1572821&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885074%26dopt%3DAbstract CONCLUSIONS: In ACS patients, MDCT contrast-enhanced coronary angiography provides good quantification of the luminal diameter as compared to coronary angiography, and it is characterized by a small overestimation bias. PMID: 16885074 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572821 Sun, 01 Jan 2006 05:00:00 +0100 1572821 http://www.medworm.com/index.php?rid=1572820&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885075%26dopt%3DAbstract Authors: Schuijf JD, van der Wall EE, Bax JJ PMID: 16885075 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572820 Sun, 01 Jan 2006 05:00:00 +0100 1572820 http://www.medworm.com/index.php?rid=1572819&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885076%26dopt%3DAbstract Authors: Lins M, el Mokhtari NE, Fischer G, Boening A, Simon R PMID: 16885076 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572819 Sun, 01 Jan 2006 05:00:00 +0100 1572819 http://www.medworm.com/index.php?rid=1572818&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885077%26dopt%3DAbstract Authors: Daccarett M, Alexander P, Machado C PMID: 16885077 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572818 Sun, 01 Jan 2006 05:00:00 +0100 1572818 http://www.medworm.com/index.php?rid=1572817&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885078%26dopt%3DAbstract Authors: Hara H, Tsunoda T, Moroi M, Kubota T, Kunimasa T, Shiba M, Wada M, Tsuji T, Iijima R, Nakajima R, Yoshitama T, Nakamura M When performing intravascular ultrasound studies, the backward echo image can show marked attenuation, although there are no calcified deposits and it may be impossible to detect the intraplaque architecture. The pathology underlying this phenomenon was investigated in autopsy specimens. We hypothesize that the mechanism responsible for the attenuation involves micro-calcification and lipid in unstable plaques causing ultrasonic wave reflection and dispersion. PMID: 16885078 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572817 Sun, 01 Jan 2006 05:00:00 +0100 1572817 http://www.medworm.com/index.php?rid=1572816&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885079%26dopt%3DAbstract Authors: Sorokin A, Weich H, Doubell A, Moolman JA A 49-year-old patient presented with angina pectoris and clinical findings of aortic valve stenosis and regurgitation. Rheumatic aortic valve stenosis and regurgitation was diagnosed on echocardiography. Coronary angiography findings showed severe calcification in the aorta root with right coronary ostial occlusion, and were suggestive of left main ostial stenosis and proximal main stem stenosis, which was confirmed on CT angiography. Curvilinear calcification of the aorta was present on CT angiography. The findings suggested syphilitic aortitis. Syphilis serology was positive (RPR titre 1/16). The angina was caused by severe coronary ostial disease likely due to syphilitic aortitis and exacerbated by the rheumatic aortic valve stenosi... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572816 Sun, 01 Jan 2006 05:00:00 +0100 1572816 http://www.medworm.com/index.php?rid=1572815&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885080%26dopt%3DAbstract We report the case of late sirolimus-eluting stent thrombosis occurring 22 months after its elective implantation in a restenotic BMS and soon after the interruption of combined anti-platelet therapy with aspirin and Clopidogrel. PMID: 16885080 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572815 Sun, 01 Jan 2006 05:00:00 +0100 1572815 http://www.medworm.com/index.php?rid=1572814&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885081%26dopt%3DAbstract Authors: Chuah SS, Al-Mohammad A, Proctor AE, Grech ED Anomalous coronary arteries are uncommon. This case illustrates an unusual result of percutaneous coronary intervention to the right coronary artery (RCA), where the circulation was also restored in the left anterior descending artery (LAD) territory via an anomalous vessel. PMID: 16885081 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572814 Sun, 01 Jan 2006 05:00:00 +0100 1572814 http://www.medworm.com/index.php?rid=1572813&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885082%26dopt%3DAbstract Authors: Kibos A, Pacouret G, Babuty D, de Labriolle A, Fauchier L, Charbonnier B Radiofrequency ablation, which is increasingly used in the treatment of cardiac arrhythmia, can be complicated with pericardial effusion and one case of Dressler's syndrome has already been reported after an atrioventricular pathway ablation. This case reports a second case complicating an atrioventricular node radiofrequency ablation procedure. PMID: 16885082 [PubMed - indexed for MEDLINE] (Source: Acute Cardiac Care) Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572813 Sun, 01 Jan 2006 05:00:00 +0100 1572813 http://www.medworm.com/index.php?rid=1572812&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16885083%26dopt%3DAbstract Authors: Hendiri T, Alibegovic J, Bonvini RF, Camenzind E A 48-year-old woman was admitted for an acute infero-lateral myocardial infarction (AMI). The coronary angiography showed an occluded aberrant left circumflex artery taking off from the right sinus of Valsalva of the aortic root. This rare coronary anomaly represents a challenge for interventional cardiologists, especially in the setting of AMI, since it may be difficult to identify an aberrant occluded vessel, to predict its origin and course and finally to choose the material which offers an adequate support during the revascularization procedure. In this particular case, the percutaneous treatment of initially occluded aberrant circumflex artery was performed successfully. PMID: 16885083 [PubMed - indexed for MEDLINE] (So... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572812 Sun, 01 Jan 2006 05:00:00 +0100 1572812 http://www.medworm.com/index.php?rid=1572811&cid=s_37357_7_f&fid=37357&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17012126%26dopt%3DAbstract Authors: Panteghini M It is very important that cardiac biomarkers on which clinically relevant decisions will rest are measured with highly reliable assays. Adequate studies are needed before new methods can be implemented in the laboratory routine, and only well-documented assays should be considered for clinical use. Therefore, it is critical that, as new biomarkers are proposed, quality specifications are developed. Only after appropriate analytical quality specifications are addressed, the issues pertaining to methodological differences that result in non-harmonized concentration values, and clinical interpretation of biomarker concentrations will be reconciled. Today, the technology to address many analytic problems is at hand, but commitment on the part of manufacturers and thei... Acute Cardiac Care journals http://www.medworm.com/rss/comments.php?id=1572811 Sun, 01 Jan 2006 05:00:00 +0100 1572811