Postepy W Kardiologii Interwencyjnej最新文献

{"title":"Double protection in patients with a massive thrombus in the infarct-related artery - a single-center retrospective study.","authors":"Piotr Chodór,&nbsp;Grzegorz Honisz,&nbsp;Krzysztof Wilczek,&nbsp;Marcin Świerad,&nbsp;Karolina Chodór-Rozwadowska,&nbsp;Zbigniew Kalarus","doi":"10.5114/aic.2023.129211","DOIUrl":"https://doi.org/10.5114/aic.2023.129211","url":null,"abstract":"<p><strong>Introduction: </strong>ST-segment elevation myocardial infarction (STEMI) is associated with thrombus formation on a ruptured or ulcerated atherosclerotic plaque. The consequences of a massive thrombus (MT) may include lack of reperfusion, extensive myocardial infarction (MI) and its complications. Although there are various treatment options for patients with coronary thrombi, double protection (DP) - manual thrombectomy (MTH) with a distal protection device (DPD) - has not been tested yet.</p><p><strong>Aim: </strong>To present DP outcomes in the treatment of patients with STEMI and MT patients.</p><p><strong>Material and methods: </strong>Fourteen patients with STEMI and MT were included in the study. Those patients underwent primary percutaneous coronary intervention (PPCI) with DP.</p><p><strong>Results: </strong>Inferior MI was found in 12 (85.8%) patients. Stents were implanted in 13 (92.8%) patients. Thrombolysis In Myocardial Infarction (TIMI) Thrombus Grade 5 was present in 11 (78.6%) patients and Grade 4 in 3 (21.4%) patients. The median thrombus length was 39.1 mm. Complete reperfusion (TIMI flow 3) was observed in 11 (78.6%) patients and TIMI flow 2 in 3 (21.4%) patients. Myocardial Blush Grade (MBG) was used in patients with TIMI flow 3 and Grade 3 was found in 5 (35.7%) patients. Resolution in ST-segment elevation > 50% was obtained in 13 (92.8%) patients. No myocardial rupture, stroke, or death occurred during hospitalization.</p><p><strong>Conclusions: </strong>DP in MT patients is a safe and feasible procedure. However, further observations and studies are needed to assess the efficacy of this method.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/90/PWKI-19-51021.PMC10351081.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836873","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}

{"title":"In-hospital outcomes of Portico transcatheter aortic valve replacement with the FlexNav as compared to the first-generation delivery system.","authors":"Stefano Rigattieri,&nbsp;Gaetano Marino,&nbsp;Francesca Giovannelli,&nbsp;Antonella Tommasino,&nbsp;Andrea Berni","doi":"10.5114/aic.2023.129215","DOIUrl":"https://doi.org/10.5114/aic.2023.129215","url":null,"abstract":"<p><strong>Introduction: </strong>Technological advancements in transcatheter heart valve platforms are essential in order to achieve high standards of efficacy and safety in transcatheter aortic valve replacement (TAVR).</p><p><strong>Aim: </strong>To evaluate the performance of the new version of the Portico valve delivery system (FlexNav) as compared to the first-generation device.</p><p><strong>Material and methods: </strong>In this single-center, observational study consecutive patients undergoing Portico valve implantation with the new FlexNav delivery system (DS) were compared with patients treated with the first-generation delivery system (1^st gen DS). In-hospital outcomes were self-adjudicated according to the Valve Academic Research Consortium-3 definition.</p><p><strong>Results: </strong>Fifty patients were included in this study; 22 were treated with the FlexNav DS and the remaining patients with the 1^st gen DS. Clinical characteristics were similar between groups, except for older age (82.6 ±3.6 vs. 80.7 ±3.8; <i>p</i> = 0.07) and higher prevalence of female gender (68.2% vs. 39.3%; <i>p</i> = 0.04) in the FlexNav DS group as compared to the 1^st gen DS group, respectively. We observed similar rates of procedural success but higher rate of moderate-to-severe paravalvular leak in the 1^st gen DS as compared to FlexNav DS group (28.6% vs. 4.6%; <i>p</i> = 0.03); major vascular complications were reduced, although not significantly, in the FlexNav DS as compared to the 1^st gen DS group (4.5% vs. 10.7%; <i>p</i> = 0.64).</p><p><strong>Conclusions: </strong>Our data suggest that the FlexNav DS, thanks to its lower profile and enhanced stability during valve deployment, might be associated with reduced rates of vascular complications and moderate to severe paravalvular leak, thus improving procedural results.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/5e/PWKI-19-51025.PMC10351078.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9839841","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}

{"title":"Women in interventional cardiology - patients' and operators' perspectives.","authors":"Marta Kałużna-Oleksy, Valeria Paradies","doi":"10.5114/aic.2023.129204","DOIUrl":"10.5114/aic.2023.129204","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/02/PWKI-19-51016.PMC10351071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9839842","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}

{"title":"COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020-2022.","authors":"Patrycja Zając,&nbsp;Karol Kaziród-Wolski,&nbsp;Janusz Sielski,&nbsp;Magdalena Wolska,&nbsp;Krzysztof Piotr Malinowski,&nbsp;Zbigniew Siudak","doi":"10.5114/aic.2023.127893","DOIUrl":"https://doi.org/10.5114/aic.2023.127893","url":null,"abstract":"<p><strong>Introduction: </strong>Coronavirus disease 2019 (COVID-19) exacerbates intravascular thrombosis that occurs in the coronary artery in ST-elevation myocardial infarction (STEMI).</p><p><strong>Aim: </strong>To analyze the impact of COVID-19 on the application and effect of thrombectomy in STEMI patients.</p><p><strong>Material and methods: </strong>29915 STEMI patients were analyzed, of whom 3139 (10.5%) underwent thrombectomy. COVID-19 (+) was reported in 311 (10.8%). The clinical characteristics and management of STEMI in COVID-19 (+) and COVID-19 (-) patients were compared. A multivariable logistic regression analysis was performed in search of factors influencing thrombectomy.</p><p><strong>Results: </strong>COVID-19 (+) patients had higher Killip class (IV class; <i>n</i> = 33 (12.31%) vs. <i>n</i> = 138 (5.84%); <i>p</i> < 0.0001) and cardiac arrest at baseline was more frequent in this group (<i>n</i> = 25 (8.04%) vs. <i>n</i> = 137 (4.84%); <i>p</i> = 0.016). Thrombolysis in myocardial infarction (TIMI) 3 after percutaneous coronary intervention was less frequent (<i>n</i> = 248 (80.52%) vs. <i>n</i> = 2388 (87.19%); <i>p</i> = 0.001) in the COVID-19 (-) group. Periprocedural mortality was similar in both groups (<i>n</i> = 28 (0.99%) vs. <i>n</i> = 4 (1.29%); <i>p</i> = 0.622). In multivariable regression analysis COVID-19 increased the risk of thrombectomy (OR = 1.23; 97.5% CI: 1.05-1.43; <i>p</i> = 0.001).</p><p><strong>Conclusions: </strong>STEMI patients undergoing aspiration thrombectomy who were COVID-19 (+) were more likely to be in a severe clinical condition (higher Killip class, more frequent cardiac arrest before the procedure) than COVID-19 (-) patients. Despite more intensive antiplatelet and anticoagulant treatment, PCI procedures were less likely to result in an optimal TIMI 3 effect. COVID-19 is an independent strong predictor of patient qualification for aspiration thrombectomy in STEMI.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/cf/PWKI-19-50798.PMC10351080.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834189","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}

{"title":"Prediction of side branch occlusion in bifurcational lesions during percutaneous coronary interventions by preprocedural coronary computed tomography using the CT bifurcation score.","authors":"Mohamed Saber Mohamed,&nbsp;Mansour Mohamed Mostafa,&nbsp;Ashraf Alamir Abdelfattah","doi":"10.5114/aic.2023.129212","DOIUrl":"https://doi.org/10.5114/aic.2023.129212","url":null,"abstract":"<p><strong>Introduction: </strong>Coronary computed tomographic angiography (CCTA) is a highly diagnostically accurate non-invasive imaging method for a thorough evaluation of atherosclerotic plaques. Many CCTA-based imaging investigations concentrate on bifurcation lesions.</p><p><strong>Aim: </strong>To determine whether intraprocedural side branch (SB) obstruction during the percutaneous coronary intervention (PCI) of lesions involving bifurcations might be predicted by preprocedural CCTA.</p><p><strong>Material and methods: </strong>This retrospective observational study was conducted on 200 stentable bifurcation lesions of 200 coronary artery disease patients with the SB ≥ 2 mm in diameter. All patients were planned for elective bifurcation PCI after undergoing CCTA for quantitative plaque characterization of both the main vessel and SB to obtain the CT bifurcation score. Then, angiography-based bifurcations were classified using both the Medina classification and the RESOLVE score before PCI of the bifurcation lesions. Most of the cases were managed by the provisional technique.</p><p><strong>Results: </strong>The CT bifurcation score was substantially higher in patients with SB occlusion (<i>p</i> < 0.001) with 80% sensitivity and 60% specificity at a cut-off point of 3. There was a borderline significant relation between the Medina score and SB occlusion in the studied cases (<i>p</i> = 0.05) with 60% sensitivity and 40% specificity. The RESOLVE score was unexpectedly an insignificant predictor of SB occlusion (<i>p</i> = 0.25) in our study, with 40% sensitivity and 50% specificity.</p><p><strong>Conclusions: </strong>Intraprocedural SB occlusion can be predicted by a comprehensive CCTA evaluation. The CT bifurcation score, a novel and simple points scoring system based on six CCTA parameters, outperformed current angiographic classification or scoring systems for predicting SB occlusion.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/06/PWKI-19-51022.PMC10351068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9839849","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}

{"title":"The relation between uric acid level and blood pressure values among patients hospitalized in a department of internal medicine.","authors":"Julia Szydlik,&nbsp;Jakub Nieznański,&nbsp;Konstancja Bałażyk,&nbsp;Jakub Pokrzywnicki,&nbsp;Ada Sawicka,&nbsp;Piotr Jankowski","doi":"10.5114/aic.2023.129213","DOIUrl":"https://doi.org/10.5114/aic.2023.129213","url":null,"abstract":"<p><strong>Introduction: </strong>The relationship between uric acid (UA) level and blood pressure (BP) is not clear, although most studies suggest BP reduction in patients treated with UA level lowering agents.</p><p><strong>Aim: </strong>The aim of the study was to evaluate the relationship between UA level and BP among patients hospitalized in a department of internal medicine. We also intended to investigate the relation between the allopurinol dose prescribed and BP.</p><p><strong>Material and methods: </strong>We reviewed hospital records of 561 patients (mean age: 65.46 ±17.46 years) hospitalized in a department of internal medicine, in whom UA level was determined on admission.</p><p><strong>Results: </strong>We did not find a significant correlation between UA level and BP values in the whole group, nor in patients not taking any BP-lowering or any UA-lowering drug. Multivariable analysis showed that allopurinol dose was not independently related to BP. Age (OR = 1.04, 95% CI: 1.03-1.06 per 1 year), diabetes (OR = 1.90, 95% CI: 1.14-3.16), stage 2 (OR = 4.96, 95% CI: 2.15-11.46) and stage 3 obesity (OR = 13.66, 95% CI: 5.90-31.60), both vs. patients without stage 2/3 obesity, but not UA level, were independently related to the diagnosis of hypertension.</p><p><strong>Conclusions: </strong>Our study does not confirm an independent relationship between UA level and BP nor between UA lowering and BP in a population of hospitalized patients.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/a2/PWKI-19-51023.PMC10351065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827747","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}

{"title":"Femoral access using a dedicated snare as a bailout strategy for transvenous lead extraction.","authors":"Maciej Dyrbuś,&nbsp;Mateusz Ostręga,&nbsp;Anna Kurek,&nbsp;Katarzyna Sokoła,&nbsp;Mariusz Gąsior,&nbsp;Mateusz Tajstra","doi":"10.5114/aic.2023.126408","DOIUrl":"https://doi.org/10.5114/aic.2023.126408","url":null,"abstract":"With the growing number of cardiac implantable electronic devices implanted across the globe, the need for transvenous lead extraction (TLE) due to different clinical causes increases [1]. To increase the efficacy and safety of the procedure, the lead-extracting team should be prepared for various unfavourable scenarios, and the facility should be properly equipped for multiple strategy modifications during the extraction. One such case is when the most common extraction strategy via the implant vein proves unsuccessful, or when in the presence of cut or fragmented leads remaining in patients, the extraction via the subclavian route is unsuccessful or even impossible. In those patients, extraction via the femoral vein provides an efficient bailout strategy, which might even be used as a primary access route in some centres [2]. We present a case of a patient in whom such strategy proved efficacious and allowed the extraction of the destined lead after a failed attempt from the implant vein. A 63-year-old male patient after mechanical mitral valve implantation with tricuspid valve repair and ring annuloplasty, with congestive heart failure due to ischaemic cardiomyopathy was admitted due to lead-related infective endocarditis. The patient had a Biotronik DX implantable cardioverter-defibrillator (ICD) with a floating atrial dipole ring (Figure 1 A), implanted in the secondary prevention of sudden cardiac death 7 years ago. The patient had the device extracted in the setting of the hybrid operating theatre, in the continuous surveillance of a cardiac surgeon. Initially, a locking stylet (Liberator, Beacon, Cook Medical) and compression coil (One-Tie, Cook Medical) were applied. After numerous unsuccessful attempts to advance the various sizes (10F, 11.5F, 13F) of Byrd Dilator Sheaths (Cook Medical) over the lead, the introduction of stainless dilators would also have been unsuccessful (Figure 1 B). Thus, the decision was made to extract the lead using the femoral approach. A Cook femoral Needle’s Eye Snare (13 mm profile diameter) was introduced via the right femoral vein (Figure 1 C), and the lead was successfully captured and extracted through the workstation without any local or systemic complications (Figure 1 D). Our case demonstrates that, for various reasons including the anatomical tightness of the subclavicular region, extraction of the lead via the implant vein might prove ineffective. One of the possible factors decreasing the probability of unobstructed lead extraction is the initial implantation technique. As demonstrated in a recent consensus document on the optimal implantation technique of cardiac devices, the intrathoracic subclavian vein puncture for establishing venous access should not be considered as the first choice because it might increase the risk of mechanical lead-related complications, including the higher risk of lead crush syndrome, in the future [3]. Thus, it can be speculated that in this case, a different initial a","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/24/PWKI-19-50497.PMC10114170.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9756155","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}

{"title":"First experience with orbital atherectomy in calcified unprotected left main percutaneous coronary intervention.","authors":"Piotr Rola,&nbsp;Szymon Włodarczak,&nbsp;Łukasz Furtan,&nbsp;Adrian Doroszko,&nbsp;Maciej Lesiak,&nbsp;Adrian Włodarczak","doi":"10.5114/aic.2022.121990","DOIUrl":"https://doi.org/10.5114/aic.2022.121990","url":null,"abstract":"Corresponding author: Piotr Rola MD, PhD, Faculty of Health Sciences and Physical Culture, Witelon Collegium State University, 59-220 Legnica, Poland, Department of Cardiology, Provincial Specialized Hospital Legnica, Legnica, Poland, e-mail: piotr.rola@gmail.com Received: 30.10.2022, accepted: 28.11.2022. First experience with orbital atherectomy in calcified unprotected left main percutaneous coronary intervention","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/b3/PWKI-19-48477.PMC10114174.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9444332","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}

{"title":"Computed tomography and transthoracic echocardiography for assessment of left ventricle geometry in patients with aortic valve stenosis.","authors":"Agata Krawczyk-Ożóg,&nbsp;Jakub Batko,&nbsp;Mateusz Koziej,&nbsp;Tomasz Tokarek,&nbsp;Danuta Sorysz,&nbsp;Zbigniew Siudak,&nbsp;Dariusz Dudek,&nbsp;Stanisław Bartuś,&nbsp;Andrzej Surdacki,&nbsp;Mateusz K Hołda","doi":"10.5114/aic.2023.124406","DOIUrl":"https://doi.org/10.5114/aic.2023.124406","url":null,"abstract":"<p><strong>Introduction: </strong>Standard transthoracic echocardiography (TTE) often is not sufficient to properly visualize the geometry of the left ventricle. One of the clinical imaging modalities that can be used for this purpose is contrast-enhanced, electrocardiologically gated cardiac computed tomography (CT).</p><p><strong>Aim: </strong>To compare cardiac CT and TTE as tools for assessing geometry and function of the left ventricle in patients with severe aortic stenosis.</p><p><strong>Material and methods: </strong>We analyzed 58 consecutive patients (43.1% males, mean age 81.4 ±6.0 years) with severe aortic stenosis, who underwent both cardiac CT and TTE.</p><p><strong>Results: </strong>Left ventricle major axis length is significantly longer in CT than in TTE (81.5 ±11.7 mm vs. 74.6 ±13.5 mm, <i>p</i> = 0.004). No difference was found in end-systolic left ventricle volume between the two imaging methods, while end-diastolic volume of the left ventricle was significantly larger when measured in CT than in both 2D biplane and 3D triplane TTE. The stroke volume was not different between the 2D biplane TTE and CT. No significant difference was found between CT and TTE in the calculation of ejection fraction and LV mass/indexed LV mass (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>The use of three-dimensional postprocessing provides a very accurate image of heart structures in CT, which in some aspects may significantly differ from the values estimated by TTE.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/da/PWKI-19-49994.PMC10114178.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741118","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}

{"title":"Myocardial infarction in a non-obstructive single coronary artery system.","authors":"Andreas S Triantafyllis,&nbsp;Agoritsa M Pervana,&nbsp;Nestoras Kontogiannis,&nbsp;Savvas Loizos","doi":"10.5114/aic.2022.121989","DOIUrl":"https://doi.org/10.5114/aic.2022.121989","url":null,"abstract":"A 62-year-old woman, with a history of smoking, presented to our cardiology service with acute chest pain. Her electrocardiogram (ECG) recorded ST-segment depression in leads V 3 → V 6","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/fc/PWKI-19-48476.PMC10114179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9756160","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}