CTO

Should We Start Using OCT in Myocardial Infarction with Non-Obstructive Lesions?

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...

Miocardiopatía hipertrófica: análisis de una serie histórica

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...

Un truco sencillo para mejorar nuestras punciones radiales

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,...

Una nueva molécula para evitar la nefropatía por contraste

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...

El ticagrelor muestra beneficios en la función microvascular coronaria luego de un IAMSEST

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...

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

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...

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