Coronary artery disease最新文献_第4页

Platelet-to-albumin ratio is an independent predictor for ventricular aneurysm formation in ST segment elevation myocardial infarction. 血小板与白蛋白比值是 ST 段抬高型心肌梗死患者心室动脉瘤形成的独立预测指标。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2024-11-04 DOI: 10.1097/MCA.0000000000001445

Haifeng Ding, Rui Chai, Yin Yin, Wenwen Li, Shijiu Jiang

{"title":"Platelet-to-albumin ratio is an independent predictor for ventricular aneurysm formation in ST segment elevation myocardial infarction.","authors":"Haifeng Ding, Rui Chai, Yin Yin, Wenwen Li, Shijiu Jiang","doi":"10.1097/MCA.0000000000001445","DOIUrl":"10.1097/MCA.0000000000001445","url":null,"abstract":"Background: Left ventricular aneurysm (LVA) is a common complication of acute myocardial infarction. We aimed to investigate the association of the platelet-to-albumin ratio (PAR) with LVA formation in patients with acute ST segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI).Methods: A total of 767 consecutive patients with STEMI were prospectively enrolled. Logistic regression analysis and restricted cubic spline (RCS) were used to assess the association between PAR and LVA formation. The predictive ability of PAR and combined variable for LVA formation were assessed using receiver-operating characteristic (ROC) curve.Results: The prevalence of LVA was 14.1%. Univariable logistic regression analysis revealed that PAR was associated with the risk of LVA at both 1 month [odds ratio (OR) = 4.42, P < 0.001] and 6 months (OR = 4.35, P < 0.001) of follow-up. The predictive value of PAR remained significant even after multivariate logistic regression analysis at 1 month (OR = 3.42, P = 0.004) and 6 months (OR = 4.28, P < 0.001). RCS analysis revealed a nonlinear association between a higher PAR and an increased risk of LVA (nonlinear P < 0.05). In addition, the predictive abilities of PAR for LVA were 0.659. The combination of PAR, hemoglobin, left ventricular ejection fraction, and the use of angiotensin-converting enzym inhibitor/angiotensin receptor blocker significantly enhanced the ability to predict LVA formation (C statistic= 0.887).Conclusion: A higher PAR was significantly associated with an increased risk of LVA formation in patients with acute STEMI who underwent primary PCI.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"117-125"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Observance of rare congenital anomaly: dual right coronary artery. 观察到罕见的先天性异常：双右冠状动脉。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2024-09-12 DOI: 10.1097/MCA.0000000000001423

Rachelle Bishay, Jairo Aldana-Bitar, Matthew J Budoff

引用次数: 0

Comment on: 'The triglyceride-glucose index as a new predictor of coronary artery complexity in elderly patients with non-ST-segment elevation acute coronary syndrome'.

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI: 10.1097/MCA.0000000000001482

Cihan Aydin, Mesut Engin, Aykut Demirkiran

引用次数: 0

Timing of coronary angiography in high-risk non-ST-elevation acute coronary syndrome: results from the Portuguese Registry for Acute Coronary Syndromes (ProACS). 高风险非 ST 段抬高型急性冠状动脉综合征的冠状动脉造影时机：葡萄牙急性冠状动脉综合征登记处 (ProACS) 的结果。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2024-11-07 DOI: 10.1097/MCA.0000000000001457

Catarina Ribeiro Carvalho, Marta Catarina Bernardo, Isabel Martins Moreira, Pedro Mateus, Ana Baptista, Ilídio Moreira

{"title":"Timing of coronary angiography in high-risk non-ST-elevation acute coronary syndrome: results from the Portuguese Registry for Acute Coronary Syndromes (ProACS).","authors":"Catarina Ribeiro Carvalho, Marta Catarina Bernardo, Isabel Martins Moreira, Pedro Mateus, Ana Baptista, Ilídio Moreira","doi":"10.1097/MCA.0000000000001457","DOIUrl":"10.1097/MCA.0000000000001457","url":null,"abstract":"Background: Current guidelines recommend an early invasive coronary angiography (ICA) within 24 h of admission for high-risk patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). Nevertheless, meta-analyses failed to demonstrate a clear advantage of this strategy in reducing hard endpoints such as death or nonfatal myocardial infarction compared to a delayed approach. Thus, the optimal timing of ICA in high-risk NSTE-ACS remains undetermined.Objective: This study aimed to determine the optimal timing for ICA in high-risk NSTE-ACS, regarding 1-year all-cause mortality and cardiovascular rehospitalizations.Methods: We conducted a national multicenter retrospective study of high-risk NSTE-ACS patients included in the Portuguese Registry for Acute Coronary Syndromes. Patients were divided into three groups according to the time of ICA: within the first 24 h, between 24 and 48 h, and between 48 and 72 h. The incidence of in-hospital complications and mortality, 1-year mortality, and cardiovascular rehospitalizations were assessed.Results: Of the 9949 patients included, 46.7% underwent early ICA. This was associated with a lower incidence of acute heart failure (8.5% vs. 11.1% vs. 11.5%, P < 0.001) and shorter length of stay (3 vs. 4 vs. 6 days, P = 0.012). It, however, did not reduce in-hospital complications or mortality (1.2 vs. 0.7 vs. 0.8%, P = 0.066). We also found no significant association with the composite endpoint of 1-year mortality or cardiovascular rehospitalization (15.1 vs. 15.9 vs. 15.7%, P = 0.887).Conclusions: Early ICA was associated with a lower incidence of acute heart failure and shorter length of stay, without a significant impact on 1-year mortality risk or cardiovascular rehospitalizations.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"166-172"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the fibrosis-4 index in patients with ST-elevated myocardial infarction. 纤维化-4指数对ST段抬高型心肌梗死患者的影响。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2024-10-08 DOI: 10.1097/MCA.0000000000001431

Naoki Shibata, Takanori Ito, Yasuhiro Morita, Hidenori Toyoda, Yasunori Kanzaki, Naoki Watanabe, Naoki Yoshioka, Hiroyuki Miyazawa, Kazuki Shimojo, Takuma Ohi, Hiroki Goto, Hoshito Karasawa, Itsuro Morishima

{"title":"Impact of the fibrosis-4 index in patients with ST-elevated myocardial infarction.","authors":"Naoki Shibata, Takanori Ito, Yasuhiro Morita, Hidenori Toyoda, Yasunori Kanzaki, Naoki Watanabe, Naoki Yoshioka, Hiroyuki Miyazawa, Kazuki Shimojo, Takuma Ohi, Hiroki Goto, Hoshito Karasawa, Itsuro Morishima","doi":"10.1097/MCA.0000000000001431","DOIUrl":"10.1097/MCA.0000000000001431","url":null,"abstract":"Background: The fibrosis-4 (FIB4) index, a simple, noninvasive marker used for hepatic diseases, represents adverse outcomes. The aim of the present study was to evaluate whether the FIB4 index can predict adverse outcomes in patients with ST-elevation myocardial infarction (STEMI).Methods: We investigated patients with STEMI who underwent primary percutaneous coronary intervention (PCI) and were alive at discharge. The cut-off FIB4 index at discharge was investigated using the survival classification and regression tree (CART) model to predict adverse outcomes. The primary outcome was all-cause mortality.Results: Between January 2006 and December 2018, 1354 patients with STEMI (median age, 68 years; men, 76.1%) were investigated. The median value of the FIB4 index was 1.21 (0.84-1.78). The CART model divided the study population into low (FIB4 index <0.945; n = 435), intermediate (0.945 ≤ FIB4 index < 2.185; n = 692), and high (FIB4 index ≥2.185; n = 227) groups based on the significant predictive values for all-cause death. During a median follow-up period of 4.3 years, all-cause death occurred in 208 patients (15.4%). The Kaplan-Meier analysis showed a significant increase in mortality with higher FIB4 index values (log-rank, P < 0.001). The multivariate Cox regression model revealed that the FIB4 index was an independent risk predictor for all-cause death in patients with STEMI [low group as reference vs. intermediate group, hazard ratio: 1.975; 95% confidence interval (CI): 1.166-3.346; P = 0.011 and vs. high group, hazard ratio: 4.633; 95% CI: 2.549-8.418; P < 0.001].Conclusions: The FIB4 index was associated with the risk of all-cause mortality in patients with STEMI who underwent primary PCI.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"99-107"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Drug-coated balloon coronary angioplasty: where are we going? 药物包覆球囊冠状动脉成形术：我们将走向何方？

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-03-01 Epub Date: 2024-12-18 DOI: 10.1097/MCA.0000000000001474

Fernando Alfonso, Islam Y Elgendy, Bernardo Cortese

引用次数: 0

Congenital systemic and coronary-to-pulmonary artery fistulas with a coronary aneurysm rupture. 先天性全身动脉和冠状动脉至肺动脉瘘伴冠状动脉瘤破裂。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-02-28 DOI: 10.1097/MCA.0000000000001516

Leizhi Ku, Zheng Liu, Xiaojing Ma

引用次数: 0

Clinical outcomes of rotational atherectomy followed by cutting balloon for calcified coronary lesions.

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-02-21 DOI: 10.1097/MCA.0000000000001515

Tingquan Zhou, Xian Jin, Shixin Ma, Jiming Han, Chengxing Shen

{"title":"Clinical outcomes of rotational atherectomy followed by cutting balloon for calcified coronary lesions.","authors":"Tingquan Zhou, Xian Jin, Shixin Ma, Jiming Han, Chengxing Shen","doi":"10.1097/MCA.0000000000001515","DOIUrl":"https://doi.org/10.1097/MCA.0000000000001515","url":null,"abstract":"Objective: Rotational atherectomy is an effective method for treating severe coronary artery calcification; however, several challenges in its clinical application persist. This study aimed to compare the safety and effectiveness of rotational atherectomy combined with cutting balloon (RACB) versus rotational atherectomy with plain balloon (RAPB) in patients with heavily calcified coronary lesions.Methods: This retrospective observational cohort study included 326 patients who underwent rotational atherectomy at Shanghai Sixth People's Hospital from January 2016 to December 2022. Patients were divided into two groups (RACB and RAPB) on the basis of the type of balloon used. The primary outcome was the incidence of major adverse cardiovascular events (MACE) 1 year after percutaneous coronary intervention. Propensity score matching (PSM) was applied to minimize bias, and survival analyses were performed with the Cox proportional hazards model.Results: The procedural complication rates of the patients in the RACB and RAPB groups were comparable. Baseline covariates were balanced between groups after adjustment via PSM. Patients receiving RACB during their procedures had a lower MACE rate during the first postprocedural year in the unadjusted analysis (6.7% vs 16.2%, P < 0.05) and after adjustment with PSM (5.6% vs 16.1%, P < 0.01). The Kaplan-Meier survival curves revealed hazard ratios of 0.44 (95% CI: 0.23-0.82; P < 0.05) for the unadjusted model and 0.36 (95% CI: 0.17-0.76; P < 0.01) for the PSM-adjusted model.Conclusion: Performing RACB before stent implantation was demonstrated to be a safe and effective strategy for managing severely calcified coronary lesions.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arteria lusoria: a rare challenge to coronary angiography.

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-02-11 DOI: 10.1097/MCA.0000000000001511

Anderson Ariaga, Pradnya Brijmohan Bhattad, Eddison Ramsaran

引用次数: 0

The impact of the Naples prognostic score in long-term outcomes after percutaneous coronary intervention for chronic total occlusions.

IF 1.5 4区医学

Coronary artery disease Pub Date : 2025-02-07 DOI: 10.1097/MCA.0000000000001512

Cihan Dündar, Ali Cevat Tanalp, Aysel Yağmur, Muhammet Buğra Karaaslan

{"title":"The impact of the Naples prognostic score in long-term outcomes after percutaneous coronary intervention for chronic total occlusions.","authors":"Cihan Dündar, Ali Cevat Tanalp, Aysel Yağmur, Muhammet Buğra Karaaslan","doi":"10.1097/MCA.0000000000001512","DOIUrl":"https://doi.org/10.1097/MCA.0000000000001512","url":null,"abstract":"Background: Chronic total occlusions (CTOs) of coronary arteries present a significant challenge in cardiology, with long-term outcomes following percutaneous coronary intervention (PCI) for CTOs remaining variable and unpredictable. The Naples prognostic score (NPS), which incorporates markers of nutritional status and systemic inflammation, has shown potential in predicting outcomes in various cardiovascular settings. This study evaluates the NPS as a predictor of long-term outcomes after PCI for CTOs.Methods: A retrospective analysis was conducted on 287 patients who underwent coronary angiography. Patients were categorized into non-CTO-PCI and CTO-PCI groups. Patients were further stratified based on survival status. Cox regression and Kaplan-Meier survival analyses were used to evaluate the association between NPS and long-term outcomes.Results: The mean age of the study population was 63.5 ± 10.6 years, with 28.6% being female. The NPS was significantly higher in the CTO-PCI group compared to the non-CTO-PCI group ( P = 0.004) and was also elevated in the non-survival group ( P = 0.004). Multivariable Cox regression analysis identified NPS as an independent predictor of mortality ( P = 0.015). Kaplan-Meier analysis demonstrated significantly higher mortality in patients with an elevated NPS ( P = 0.009).Conclusion: The NPS is a valuable independent predictor of long-term mortality in patients undergoing CTO-PCI. Incorporating NPS into existing risk stratification models could improve predictive accuracy and guide individualized patient management. Further prospective studies are warranted to validate these findings and explore interventions targeting inflammation and nutrition in this high-risk population.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0