acute coronary syndrome

Unprotected trunk in diabetics: angioplasty with good long-term results but more revascularization

Original title:&nbsp;Coronary artery bypass graft versus percutaneous coronary intervention with drug-eluting stent implantation for diabetic patients with unprotected left main coronary artery disease: D-DELTA registry.&nbsp;Reference:&nbsp;Meliga Emanuele, et al. EuroIntervention 2013; 9:803-808 Diabetes increases cardiovascular risk events because of their involvement in diffuse form of the vessels, thereby generating more events and changes in revascularization strategy<a href="https://solaci.org/en/2013/12/12/n-4152/" title="Read more" >...</a>

Enoxaparin appears superior to unfractionated heparin in patients undergoing primary angioplasty

Original title:&nbsp;A direct comparison of intravenous enoxaparin with unfractionated heparin in primary percutaneous coronary intervention (from the ATOLL trial).&nbsp;Reference:&nbsp;Collet et al. Am J Cardiol. 2013; Epub ahead of print. ATOLL study analysis suggests that enoxaparin is superior to unfractionated heparin in reducing ischemic events and mortality in patients&nbsp; suffering ST elevation acute myocardial infarction (STEMI)<a href="https://solaci.org/en/2013/09/16/n-3613/" title="Read more" >...</a>

Zotarolimus-eluting stent in-stent restenosis

Original title:&nbsp;Clinical Outcomes of the Resolute Zotarolimus-Eluting Stent in Patients With In-Stent Restenosis Two-Year Results From a Pooled Analysis.&nbsp;Reference:&nbsp;Gert Richardt et al. J Am Coll Cardiol Intv 2013, article in press. Previous studies reported a target lesion revascularization (TLR) of 15% and target vessel (TVR) of 22% &nbsp;after a year of treating an injury-stent restenosis.<a href="https://solaci.org/en/2013/08/16/n-3529/" title="Read more" >...</a>

Direct Stent, no clinical utility in patients undergoing elective

&nbsp;Original title: The Independent Value of a Direct Stenting Strategy on Early and Late Clinical Outcomes in Patients Undergoing Elective Percutaneous Coronary Intervention. Reference: Gabriel L. Sardi et al. Catheterization and Cardiovascular Interventions 81:949&ndash;956 (2013). &nbsp; The use of direct stenting (DS) without pre-stenting dilation has proven to be a safe strategy, especially with the<a href="https://solaci.org/en/2013/06/18/n-2626/" title="Read more" >...</a>

Aortic Valvuloplasty in the transcatheter aortic valve implantation era 

Original title:&nbsp;Emerging indications, in-hospital and long-term outcome of balloon aortic valvuloplasty in the transcatheter aortic valve implantation era.&nbsp;Reference:&nbsp;Francesco Saia et al. EuroIntervention 2013;8:1388-1397 Until a few years ago, aortic valvuloplasty had been abandoned by many centers due to its limited results and frequent complications. The current guidelines recommend aortic valvuloplasty to treat patients with symptomatic<a href="https://solaci.org/en/2013/05/21/n-2752/" title="Read more" >...</a>

A moderate dose of midazolam and fentanyl is effective in reducing radial spasms 

Original title:&nbsp;Moderate Procedural Sedation and Opioid Analgesia During Transradial Coronary Interventions to Prevent Spasm. A Prospective Randomized Study.&nbsp;Reference:&nbsp;Spyridon Deftereos et al. J Am Coll Cardiol Intv 2013;6:267&ndash;73. The trans-radial approach has become the preferred diagnostic and therapeutic study for evidence of minor vascular complications, shorter hospital stays, less blood loss and better outcomes in acute<a href="https://solaci.org/en/2013/04/02/n-2794/" title="Read more" >...</a>

A moderate dose of midazolam and fentanyl is effective in reducing radial spasms 

Original title:&nbsp;Moderate Procedural Sedation and Opioid Analgesia During Transradial Coronary Interventions to Prevent Spasm. A Prospective Randomized Study.&nbsp;Reference:&nbsp;Spyridon Deftereos et al. J Am Coll Cardiol Intv 2013;6:267&ndash;73. The trans-radial approach has become the preferred diagnostic and therapeutic study for evidence of minor vascular complications, shorter hospital stays, less blood loss and better outcomes in acute<a href="https://solaci.org/en/2013/04/02/n-2801/" title="Read more" >...</a>

Multislice tomography to stratify low-risk chest pain. Lower cost and larger revascularization. 

Original title:&nbsp;Outcomes After Coronary Computed Tomography Angiography in the Emergency Department. A Systematic Review and Meta-Analysis of Randomized, Controlled Trials.&nbsp;Reference:&nbsp;Edward Hulten et al. J Am Coll Cardiol 2013. Article in press Chest pain is the second most common cause for visiting an emergency department. In all consultations, only few are finally acute coronary syndromes, for<a href="https://solaci.org/en/2013/02/13/n-3046/" title="Read more" >...</a>

Ischemic preconditioning reduces infarct size in patients treated with primary angioplasty

Original title:&nbsp;Preinfarction Angina Reduces Infarct Size in ST-Elevation Myocardial Infarction Treated With Percutaneous Coronary Intervention&nbsp;Reference:&nbsp;Ronald Reiter et al. Circ Cardiovasc Interv. 2013;6:00-00. Ischemic preconditioning (IPC) is a phenomenon whereby transitory ischemia episodes protect the myocardium against a more prolonged episode.&nbsp; Until now, IPC has been the most effective approach to protect the myocardium. Pre infarction<a href="https://solaci.org/en/2013/02/08/n-3039/" title="Read more" >...</a>

Ticagrelor, even better than we thought

Original title:&nbsp;Reduction in First and Recurrent Cardiovascular Events with Ticagrelor Compared with Clopidogrel in the PLATO Study.&nbsp;Reference:&nbsp;Payal Kohli et al. CIRCULATION AHA.112.124248. In analyzing randomized and monitored study outcomes, we usually observe that after the occurrence of any primary outcome event patients are typically blocked for further analysis.&nbsp; This practice limits the information on subsequent<a href="https://solaci.org/en/2013/01/08/n-3158/" title="Read more" >...</a>

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