In ST elevation MI, the common assessment methodology continues to the angiography; however, we all know it has certain limitations, especially when it comes to intermediate lesions or coronary dissections. Using imaging, especially high resolution such as OCT, has been looked into by some studies, but never randomized studies. The EROSION III is a randomized...
Hypertrophic Cardiomyopathy: Analyzing a Historical Series
75% of patients with hypertrophic Cardiomyopathy present symptoms. An important group responds very well to pharmacological treatment with betablockers and calcium antagonists, and those who do not respond, or do not tolerate these drugs, receive, at present, surgery as elective treatment. There is also alcohol septal ablation as an alternative strategy, which different studies have...
Can the Use of Intra Arterial Vasodilators Prevent Radial Artery Occlusion?
The incidence of post procedure radial occlusion (RAO) ranges from 1% to 12 % according to some studies. Different strategies to reduce RAO include the use of small caliber catheters, adequate anticoagulation and punction site care after procedure. Vasodilators are used to prevent radial spasm during procedure. However, using it after procedure should increase flow,...
Fellow’s Corner Invitation. Submit your case and let’s keep learning together
Dear LATAM Fellows: We would like to tell you the Fellow’s Corner is coming back this year (FC). This is why we invite you once again to send us your cases on coronary artery, valve, peripheral and structural disease you might want to share with the entire SOLACI and ProEducar communities. As always, we plan to learn from each...
In Multivessel Disease, When Should Renal Impairment Be Considered?
Cardiovascular disease is one of the main causes of morbidity and mortality in patients with advanced chronic kidney disease (CKD), and vice-versa. Both diseases share risk factors, including, but not limited to, diabetes, high blood pressure, smoking, dyslipidemia, and old age. As kidney disease develops, its severity grade has been linked to more thrombotic events...
Ticagrelor Shows Benefits in Coronary Microvascular Function after NSTEMI
Coronary microvascular disfunction (CMD) is an important long-term prognosis predictor. CMD treatment can be an effective therapeutic strategy for patients with acute coronary syndrome (ACS). Nevertheless, more studies are needed to assess different strategies. In the PLATO (Study of Platelet Inhibition and Patient Outcomes) study, ticagrelor vs. clopidogrel reduced ischemic events and overall mortality in...
RESTORE | Using Rivaroxaban to Prevent Radial Artery Occlusion After an Intervention
Radial access has long demonstrated its benefit, but one of its most feared complications is radial artery occlusion (RAO), which can vary from 1% to 5% according to different series. There is currently no significant information on post-procedural anticoagulation and the presence of RAO at follow-up. The aim of the randomized RESTORE study was to...
5-year TVF and MACCE in patients with deferred of revascularization after FFR: Is FFR enough?
Fractional flow reserve (FFR) has been shown effective and safe by different studies, yet not at 5 years. The aim of this multicenter registry was to assess the impact of thrombotic risk (as per CREDO-Kyoto score) as a predictor of cardiovascular events at 5 years in patients with deferred revascularization after FFR measurement. The score...
Paraguay Sessions 2022 | Clinical Case Contest for Young Interventionists
The contest ended. The authors of the selected cases for live presentation have been contacted by email Call for Case Submission XLIV SOLACI Regional Sessions – 15° Southern Cone. June 30 to July 1, 2022 | Asunción – Paraguay. It is with great pleasure that we hereby invite all young Latin American cardiologists to submit...
ACC 2022 | PROMPT-HF
Patients with cardiac failure with reduced ejection fraction (HFrEF) are sub treated when you look at guideline-directed medical therapy (GDMT). The aim of this study was to assess if, using an electronic registry, we can alert treating physicians and optimize medical treatment. 100 healthcare professionals (doctors, nurses, etc) were randomized to receiving and alert...