Coronary artery disease最新文献_第9页

The impact of perceived stress on the prognosis in patients undergoing percutaneous coronary intervention. 感知应激对经皮冠状动脉介入治疗患者预后的影响。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001478

Qiuyin Shi, Xuefei Wang, Dongxia Zhao, Weihong Tang, Yongzhen Mo

{"title":"The impact of perceived stress on the prognosis in patients undergoing percutaneous coronary intervention.","authors":"Qiuyin Shi, Xuefei Wang, Dongxia Zhao, Weihong Tang, Yongzhen Mo","doi":"10.1097/MCA.0000000000001478","DOIUrl":"https://doi.org/10.1097/MCA.0000000000001478","url":null,"abstract":"Objective: To assess the impact of perceived stress levels in patients undergoing percutaneous coronary intervention (PCI) on the occurrence of major adverse cardiovascular events (MACEs) within a 6-month follow-up period postprocedure.Methods: A cohort of 339 hospitalized patients with coronary heart disease undergoing initial PCI was prospectively enrolled in the Department of Cardiology at two branches of Zhongda Hospital Affiliated to Southeast University between January 2022 and July 2022. Baseline data including demographic and clinical characteristics, along with the Chinese Perceived Stress Scale (CPSS), were collected. The occurrence of MACE was evaluated at 3 and 6 months post-PCI. Kaplan-Meier survival analysis and Cox regression models were engaged to analyze the relationship between perceived stress and MACE within 6 months after PCI.Results: MACE occurred in 16.22% (55/339) of patients during the 6 following months. High CPSS at baseline was significantly associated with an increasing risk of short-term MACE occurrence (HR: 6.48, 95% confidence interval: 2.98-14.11, P < 0.05).Conclusion: High perceived stress during the baseline period after PCI was significantly correlated with increased incidence of MACE within 6 months postprocedure. The perceived stress level could help to identify patients undergoing PCI at heightened risk of short-term MACE.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845907","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

Aslanger pattern: please do not waste time. 阿斯朗格模式：请不要浪费时间。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001471

Miguel Vicente, Bernardo Resende, Domingos Ramos, Lino Gonçalves

引用次数: 0

Thrombotic calcified aneurysm in a child with Kawasaki disease at 4 years of follow-up. 川崎病患儿血栓性钙化动脉瘤4年随访

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001480

Manphool Singhal, Rakesh Kumar Pilania, Pallavi L Nadig, Tarun Sidhant, Surjit Singh

引用次数: 0

Pathological Q waves at presentation of anterior ST segment elevation myocardial infarction predict heart failure: a Southeast Asian perspective. 前ST段抬高型心肌梗死发病时的病理性Q波可预测心力衰竭：东南亚视角。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001475

Marie Houdmont, Eng How Lim, Andie Djohan Hartanto, Vianne Lau, Siew Pang Chan, Saw Kalyar Win, Benjamin Tung, Zhe Yan Ng, Mark Chan, Ronald Lee, Adrian F Low, Huay Cheem Tan, Tiong-Cheng Yeo, Poay Huan Loh, Koo Hui Chan

{"title":"Pathological Q waves at presentation of anterior ST segment elevation myocardial infarction predict heart failure: a Southeast Asian perspective.","authors":"Marie Houdmont, Eng How Lim, Andie Djohan Hartanto, Vianne Lau, Siew Pang Chan, Saw Kalyar Win, Benjamin Tung, Zhe Yan Ng, Mark Chan, Ronald Lee, Adrian F Low, Huay Cheem Tan, Tiong-Cheng Yeo, Poay Huan Loh, Koo Hui Chan","doi":"10.1097/MCA.0000000000001475","DOIUrl":"https://doi.org/10.1097/MCA.0000000000001475","url":null,"abstract":"Background: Pathological Q waves at presentation in ST segment elevation myocardial infarction (STEMI) have been associated with poorer clinical outcomes including heart failure. This observational study highlights the prognostic value of pathological Q waves at presentation in the Southeast Asian population.Methods: Multiethnic Asian patients presenting with STEMI and treated with primary coronary intervention were recruited from 2015 to 2019. The presenting ECG was reviewed for pathological Q waves and patients were divided into groups with and without Q waves. The confirmatory multivariate analyses concerning the presence of Q wave, occurrence of heart failure, time to heart failure at 1 year, and the mortality status were performed with generalized structural equation model.Results: A total of 1385 patients were included. Patients with pathological Q waves were more likely to suffer from anterior myocardial infarction (55.6 vs. 43.6%) and classified as Killip class >2 (13.5 vs. 8.0%). Among them, fewer reported ST segment resolution >50% (66.5 vs. 79.7%). They reported significantly lower LVEF (45.5 vs. 51.1%), longer symptom onset to ECG (168 vs. 111 min), and longer symptom-onset-to-balloon time (228 vs. 176 min). In addition, patients with Q waves were likely to stay longer in hospital (6.4 vs. 6.1 days) and faced a higher risk of heart failure (5.2 vs. 2.5%) in a year.Conclusion: We highlight the important morbidity associated with Q waves at presentation and found not only that heart failure occurrence was higher in the Q wave group, but there was also an acceleration of and shorter onset to heart failure.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845924","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

Caveats in application of protected rotational atherectomy with double-guiding catheter technique for nonleft main bifurcation lesion. 双导导管保护旋转动脉粥样硬化切除术在非左主干分叉病变中的应用注意事项。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001476

Minggang Zhou, Li Chen

引用次数: 0

Coronary vasomotor response incidence to intracoronary acetylcholine provocation test according to the severity of insignificant coronary artery stenosis in Korean population. 韩国人冠状动脉狭窄不明显时冠状动脉内乙酰胆碱激发试验的冠状动脉血管运动反应发生率。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-18 DOI: 10.1097/MCA.0000000000001481

Tae Shik Park, Woo Jin Ahn, Seung-Woon Rha, Se Yeon Choi, Jinah Cha, Sujin Hyun, Markz Rmp Sinurat, Soohyung Park, Cheol Ung Choi, Chang Gyu Park, Dong Joo Oh, Byoung Geol Choi

{"title":"Coronary vasomotor response incidence to intracoronary acetylcholine provocation test according to the severity of insignificant coronary artery stenosis in Korean population.","authors":"Tae Shik Park, Woo Jin Ahn, Seung-Woon Rha, Se Yeon Choi, Jinah Cha, Sujin Hyun, Markz Rmp Sinurat, Soohyung Park, Cheol Ung Choi, Chang Gyu Park, Dong Joo Oh, Byoung Geol Choi","doi":"10.1097/MCA.0000000000001481","DOIUrl":"10.1097/MCA.0000000000001481","url":null,"abstract":"Background: Coronary artery spasm (CAS) is a cause of variant angina. However, the understanding of CAS patterns in the presence of mild-to-moderate coronary artery stenosis is limited. This study aimed to evaluate the incidence and patterns of CAS in patients with insignificant coronary artery stenosis using intracoronary acetylcholine (ACH) provocation test.Methods: In this study, 6513 patients without significant coronary artery stenosis who underwent intracoronary ACH provocation test were enrolled. Patients were divided into three groups, based on the severity of coronary artery stenosis: the non group (stenosis <30%, n = 2833), the mild group (30-49%, n = 3278) and the moderate group (50-69%, n = 402). Vasomotor responses were observed among three different groups.Results: The baseline characteristics of the patients in the mild and moderate groups were worse than in the non group. They were older, had higher prevalence of hypertension, diabetes, dyslipidemia, and smoking habit. During the ACH test, CAS was observed in 58.1% of the overall population. The mild group (60.1%) and the moderate group (60.9%) showed a higher incidence than the non group (55.3%, P < 0.001). In addition, among cases of CAS, the mild group (3.2%) and the moderate group (8.5%) responded more at a lowest dose of ACH than the non group (3.1%, P < 0.001).Conclusion: In patients with chest pain without significant coronary artery stenosis, CAS was observed in over half of the cases. Furthermore, CAS was found to be more frequent and more susceptible in patients with mild-to-moderate coronary artery stenosis compared with those without fixed stenosis.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834438","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

Endothelial progenitor cells have high predictive value for ventricular remodeling after percutaneous coronary intervention in acute myocardial infarction. 内皮祖细胞对急性心肌梗死经皮冠状动脉介入治疗后的心室重塑具有很高的预测价值。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-17 DOI: 10.1097/MCA.0000000000001461

Yongxiang Ma, Lijian Niu, Jing Zhang, Fei Yu, Wenjun Huang

{"title":"Endothelial progenitor cells have high predictive value for ventricular remodeling after percutaneous coronary intervention in acute myocardial infarction.","authors":"Yongxiang Ma, Lijian Niu, Jing Zhang, Fei Yu, Wenjun Huang","doi":"10.1097/MCA.0000000000001461","DOIUrl":"10.1097/MCA.0000000000001461","url":null,"abstract":"Objective: Acute myocardial infarction (AMI) and the following heart failure are main causes of disability and death across the globe. Endothelial progenitor cell (EPC) levels are linked to AMI. Herein, we assessed the predictive value of EPCs for post-percutaneous coronary intervention (PCI) ventricular remodeling in AMI patients.Methods: This study retrospectively analyzed 215 AMI patients receiving PCI, who were then categorized into the VR ( n = 66) and N-VR ( n = 149) groups as per whether they developed post-PCI ventricular remodeling. Left ventricular ejection fraction (LVEF), N-terminal pro-brain natriuretic peptide (NT-pro-BNP), and EPCs were measured. The correlations of LVEF and NT-pro-BNP with EPCs, the predictive value of EPCs for post-PCI ventricular remodeling, and the risk of post-PCI ventricular remodeling in AMI patients with different EPC levels were analyzed by Spearman's analysis, receiver-operating characteristic curve, and Kaplan-Meier curve.Results: LVEF and EPC levels were lower and NT-pro-BNP level was higher in the VR group than the N-VR group. EPC levels in the class III-IV group were lower than those in the class I-II group. EPC levels in AMI patients correlated positively with LVEF ( r = 0.683) and negatively with NT-pro-BNP ( r = -0.761). EPCs exhibited high predictive value for post-PCI ventricular remodeling in AMI [area under the curve (AUC) of 0.822] and anterior MI (AUC = 0.941) patients. AMI and anterior MI patients with low EPC levels had a higher risk of post-PCI ventricular remodeling.Conclusion: Low EPC levels have high predictive value for post-PCI ventricular remodeling, and increase the risk of post-PCI ventricular remodeling in AMI patients.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827647","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

A rare finding after acute myocardial infarction. 急性心肌梗塞后罕见发现。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-05 DOI: 10.1097/MCA.0000000000001473

Diamantis Kosmidis, Nikolaos Gouliaros, Evangelia Sotiroglou, Dimitris Vatitsis, Charalampos Stefanidis, Christos Chatzieleftheriou

引用次数: 0

The unnecessary bypass surgery and the competition between native vessel and surgical graft flow. 不必要的搭桥手术和原生血管与移植血流的竞争。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-02 DOI: 10.1097/MCA.0000000000001470

Konstantinos C Theodoropoulos, Matthaios Didagelos, Konstantinos Tsakiridis, Charalambos Kakderis, Alexandra Liakopoulou, Elizabeth Psoma, George Kassimis, Antonios Ziakas

引用次数: 0

Inferior ST elevation myocardial infarction in a patient with anomalous origin of the left coronary artery from the right coronary cusp. 一名左冠状动脉从右冠状动脉尖异常起源的患者发生下行 ST 段抬高型心肌梗死。

IF 1.5 4区医学

Coronary artery disease Pub Date : 2024-12-01 Epub Date: 2024-07-09 DOI: 10.1097/MCA.0000000000001408

George Kassimis, Athanasios Samaras, Athina Nasoufidou, Konstantinos C Theodoropoulos, Matthaios Didagelos, Georgios P Rampidis, Antonios Ziakas, Nikolaos Fragakis

引用次数: 0