REC: interventional cardiology (English Edition)最新文献_第5页

Plaque modification and impact on the microcirculation territory after drug-coated balloon angioplasty. The PLAMI study design 药物涂层球囊血管成形术后斑块的改变及其对微循环区域的影响。PLAMI 研究设计

REC: interventional cardiology (English Edition) Pub Date : 2024-01-30 DOI: 10.24875/recice.m23000436

José Antonio Sorolla Romero, Andrea Teira Calderón, J. P. Vílchez Tschischke, Pablo Aguar Carrascosa, F. Ten Morro, Luis Andrés Lalaguna, Luis Martínez Dolz, J. L. Diez Gil, Hector M. Garcia-Garcia, and, J. Sanz Sánchez

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Diagnosis and treatment of patients with ANOCA ANOCA 患者的诊断和治疗

REC: interventional cardiology (English Edition) Pub Date : 2024-01-19 DOI: 10.24875/recice.m23000420

Carlos Escobar, Josep Gomez Lara, Javier Escaned, Antoni Carol Ruiz, Enrique Gutiérrez Ibañes, Leticia Fernández Friera, S. Raposeiras-Roubin, Joaquín Alonso Martín, Jaume Agüero, José María Gámez, P. Jorge-Pérez, Román Freixa-Pamias, Vivencio Barrios, Ignacio Cruz González, Amparo Martínez Monzonís, and, Ana Viana Tejedor

{"title":"Diagnosis and treatment of patients with ANOCA","authors":"Carlos Escobar, Josep Gomez Lara, Javier Escaned, Antoni Carol Ruiz, Enrique Gutiérrez Ibañes, Leticia Fernández Friera, S. Raposeiras-Roubin, Joaquín Alonso Martín, Jaume Agüero, José María Gámez, P. Jorge-Pérez, Román Freixa-Pamias, Vivencio Barrios, Ignacio Cruz González, Amparo Martínez Monzonís, and, Ana Viana Tejedor","doi":"10.24875/recice.m23000420","DOIUrl":"https://doi.org/10.24875/recice.m23000420","url":null,"abstract":"A substantial number of patients undergoing coronary angiography for angina or ischemia in noninvasive tests have coronary arteries without lesions or with nonsignificant stenosis. Many of these patients have nonobstructive myocardial ischemia (INOCA/ ANOCA), which is an entity with prognostic importance that significantly affects patients’ quality of life. The absence of a proper diagnosis leads to inappropriate medical treatment, repeat diagnostic tests, and greater use of social and health resources. An adequate diagnostic strategy is required for individualized treatment that improves symptoms and quality of life. In this document from the SEC-Clinical Cardiology Association, SEC Interventional Cardiology Association, SEC-Ischemic Heart Disease and Acute Cardiac Care Association, and SEC-Cardiovascular Imaging Association of the Spanish Society of Cardiology, we provide simple and practical algorithms, with the aim of facilitating the early diagnosis and most appropriate treatment for patients with ANOCA.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":"76 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementing an ANOCA clinic 开设 ANOCA 诊所

REC: interventional cardiology (English Edition) Pub Date : 2024-01-19 DOI: 10.24875/recice.m23000433

Thabo Mahendiran and, Bernard De Bruyne

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Percutaneous pulmonary valve implantation in native outflow tracts: has the time come? 在原生流出道进行经皮肺动脉瓣植入术：时机成熟了吗？

REC: interventional cardiology (English Edition) Pub Date : 2024-01-19 DOI: 10.24875/recice.m23000424

Pablo Merás Colunga, and, Santiago Jiménez Valero

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Debate. Asymptomatic severe aortic stenosis: when should we intervene? The interventional cardiologist�s perspective 辩论。无症状重度主动脉瓣狭窄：何时介入？介入心脏病专家的观点

REC: interventional cardiology (English Edition) Pub Date : 2024-01-09 DOI: 10.24875/recice.m23000417

J. A. Baz Alonso

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Debate. Asymptomatic severe aortic stenosis: when should we intervene? The clinician�s perspective 辩论。无症状重度主动脉瓣狭窄：何时干预？临床医生的观点

REC: interventional cardiology (English Edition) Pub Date : 2024-01-09 DOI: 10.24875/recice.m23000416

José L. Zamorano

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On- vs off-hours primary percutaneous coronary intervention: a single-center 5-year experience 上班时间与下班时间经皮冠状动脉介入治疗：单中心 5 年经验

REC: interventional cardiology (English Edition) Pub Date : 2024-01-08 DOI: 10.24875/recice.m23000427

Fernando Mané, R. Flores, Rodrigo Silva, I. Conde, Ana Sofia Ferreira, J. Costa, C. Quina-Rodrigues, Carlos Galvão-Braga, and, Jorge Marques

{"title":"On- vs off-hours primary percutaneous coronary intervention: a single-center 5-year experience","authors":"Fernando Mané, R. Flores, Rodrigo Silva, I. Conde, Ana Sofia Ferreira, J. Costa, C. Quina-Rodrigues, Carlos Galvão-Braga, and, Jorge Marques","doi":"10.24875/recice.m23000427","DOIUrl":"https://doi.org/10.24875/recice.m23000427","url":null,"abstract":"Introduction and objectives: In patients with ST-segment elevation myocardial infarction (STEMI) treatment delay significantly affects outcomes. The effect of admission time in STEMI patients is unknown when percutaneous coronary intervention (PCI) is the preferred reperfusion strategy. This study aimed to determine the association between STEMI outcomes and the timing of admission in a PCI center in south-western Europe. Methods: This retrospective cohort study analyzed the local electronic data from 1222 consecutive STEMI patients treated with PCI. On-hours were defined as admission from Monday to Friday between 8:00 AM and 6:00 PM on non-national holidays. Results: A total of 439 patients (36%) were admitted on-hours and 783 patients (64%) were admitted off-hours. Baseline characteristics were well-balanced between the 2 groups, including the percentage of patients admitted in cardiogenic shock (on-hours 5% vs off-hours 4%; P = .62). The median time from first medical contact to reperfusion did not differ between the 2 groups (on-hours 120 minutes vs off-hours 123 minutes, P = .54) and no association was observed between admission time and in-hospital mortality (on-hours 5% vs off-hours 5%, P = .90) or 1-year mortality (on-hours 10% vs off-hours 10%, P = .97). Survival analysis showed no differences in on-hours PCI vs off-hours PCI (HR, 1.1; 95%CI, 0.74-1.64; P = .64). Conclusions: In a contemporary emergency network, the timing of STEMI patients’ admission to the PCI center was not associated with reperfusion delays or increased mortality.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":"48 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coronary obstruction following transcatheter aortic valve replacement. Risk evaluation and preventive strategies 经导管主动脉瓣置换术后的冠状动脉阻塞。风险评估和预防策略

REC: interventional cardiology (English Edition) Pub Date : 2023-12-28 DOI: 10.24875/recice.m23000426

V. Arévalos, F. Spione, Paula Vela, F. Iacovelli, L. Sanchís, X. Freixa, Salvatore Brugaletta, T. Tesorio, Omar Abdul-Jawad Altisent, Manel Sabaté, and, A. Regueiro

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An unusual etiology of shock after ECMO decannulation ECMO 拔管后休克的不寻常病因

REC: interventional cardiology (English Edition) Pub Date : 2023-12-14 DOI: 10.24875/recice.m23000421

Pau Torrella, Maria Vidal, Jordi Riera, Irene Buera, Eduard Argudo, and, José Antonio Barrabés

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Angina or ischemia with no obstructed coronary arteries: a specific diagnostic and therapeutic protocol 无冠状动脉阻塞的心绞痛或心肌缺血：特定的诊断和治疗方案

REC: interventional cardiology (English Edition) Pub Date : 2023-12-13 DOI: 10.24875/recice.m23000418

Riccardo Rinaldi, F. Spione, Filippo Maria Verardi, Pablo Vidal Calés, V. Arévalos, R. Gabani, Daniel Cánovas, Montserrat Gutiérrez, Montserrat Pardo, Rosa Domínguez, Luis Pintor, Xavier Torres, X. Freixa, A. Regueiro, Omar Abdul-Jawad Altisent, Manel Sabaté, and, Salvatore Brugaletta

{"title":"Angina or ischemia with no obstructed coronary arteries: a specific diagnostic and therapeutic protocol","authors":"Riccardo Rinaldi, F. Spione, Filippo Maria Verardi, Pablo Vidal Calés, V. Arévalos, R. Gabani, Daniel Cánovas, Montserrat Gutiérrez, Montserrat Pardo, Rosa Domínguez, Luis Pintor, Xavier Torres, X. Freixa, A. Regueiro, Omar Abdul-Jawad Altisent, Manel Sabaté, and, Salvatore Brugaletta","doi":"10.24875/recice.m23000418","DOIUrl":"https://doi.org/10.24875/recice.m23000418","url":null,"abstract":"Introduction and objectives : A systematic approach to patients with angina with no obstructed coronary arteries (ANOCA) or ischemia with no obstructed coronary arteries (INOCA) patients is not routinely implemented. Methods: All consecutive patients diagnosed with ANOCA/INOCA were referred to a designated outpatient clinic for a screening visit to assess their eligibility for a NOCA program. If eligible, patients underwent scheduled coronary angiograms with coronary function testing and intracoronary acetylcholine provocation testing. Medical therapy was optimized accordingly. All patients were then followed up at 1, 3, 6, and 12 months. Baseline and 3-month follow-up assessments included the Seattle Angina Questionnaire (SAQ) and EuroQol-5D questionnaire. Results: Of 77 patients screened, 23 (29.9%) were excluded and 54 (70.1%) were included (29 [53.7%] with INOCA and 25 [46.3%] with ANOCA). Microvascular angina was diagnosed in 19 (35.2%) patients, vasospastic angina in 12 (22.2%), both microvascular angina and vasospastic angina in 18 (33.3%), and noncoronary chest pain in 5 (9.3%). There was a notable increase in the use of beta-blockers, calcium channel blockers and nitrates. Complications occurred in 3 (5.5%) patients. Compared with baseline, there was no difference in the mean EQ-5D score at the 3-month follow-up, but there was a significant improvement in the SAQ score related to physical limitations, angina stability, and disease perception, with no differences in angina frequency or treatment satisfaction. No events were recorded at the 1-year follow-up. Conclusions: A specific diagnostic and therapeutic protocol can be easily and safely implemented in routine clinical practice, leading to improvement in patients’ quality of life.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":"340 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139181141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0