The Most Read Articles in Interventional Cardiology

01- Ticagrelor or Prasugrel in ST Elevation MI

In patients undergoing ST elevation acute myocardial infarction (STEMI) receiving primary PCI, no significative differences between prasugrel and ticagrelor were found. However, the latter was associated to a significantly higher number of repeat MI when considered separately. 

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02- Number of Hours of Sleep and Risk of Stroke

Sleep duration (either short or long) affect the risk of stroke according to this recent analysis. We had visited a study published in JACC on the link between acute MI and sleep duration. This study appears to show similar results as regards sleep duration and stroke. 

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03- In-Stent Restenosis Treatment: Meta-Analysis of 10 Randomized Studies

The best strategy to treat in stent restenosis continues to be a dilemma. A new drug eluting stent (DES) seems to be the simplest treatment, even though it adds metal layers that will make it harder and harder to retreat. Drug coated balloons might be a viable alternative seeing as it seems to enable retreatment, even though it has a cost. 

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04- Angioplasty in Aspirin-Free Stable Patients with Prasugrel: Innovation Continues

Potent P2Y12 receptor inhibitors, such as prasugrel and ticagrelor, have been tested mainly in a setting of acute coronary syndromes. There is little evidence on stable patients, particularly for prasugrel. Designing a study with that purpose seemed challenging enough, but adding aspirin discontinuation in patients without a particularly high bleeding risk took this research to another level.

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05- Dual Layered for Dual Protection in Carotid PCI

At present, there is more than one dual layered stent in the market offering additional protection in carotid PCI. Therefore we saw fit to look at these devices to compare class benefits and find any specific differences. 

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06- Mental Stress, Frontal Lobe Activation and Chest Pain

Historically, we have believed that mental stress might induce chest pain as a response to increased levels of catecholamines and consequently increased product (by 100%), just as it happens with physical stress. 

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07- 9° ProEducar Educational Meeting- Structural Intervention II

Watch again the “9th ProEducar Educational Meeting – Learning with Experts” on Structural Intervention on our Youtube account. The event was held on 11/12/2020 by the ProEducar area and had the participation of almost 300 people.

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08- The Ten Commandments from the New Guidelines on Infarction Without ST-Segment Elevation

In 2020, the European Society of Cardiology guidelines for the management of patients with acute coronary syndromes without ST-segment elevation (Non-ST-Segment Elevation Myocardial Infarction, NSTEMI) were presented.

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09- Can We Lower the Cutoff Threshold in Abdominal Aortic Aneurysms?

A new diagnostic tool might change the classical abdominal aortic aneurysm (AAA) cutoff thresholds of 5.5 and 5 cm for men and women, respectively. The new ultrasound speckle tracking technology can study AAA wall motion in real time and has the potential to become the new standard for diagnostic and therapeutic decisions. 

Read more HERE

10- AHA 2019 | Treat Stroke to Target: Post-Stroke Aggressive Therapy with Statins

Indicating statins to reach more aggressive LDL goals in patients that have suffered transient ischemic attack or ischemic stroke driven by atherosclerosis significantly reduces major cardiovascular events according to this study presented in the AHA 2019 scientific sessions simultaneously published in NEJM.

Read more HERE

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