Original title: Assessment of Clinical Outcomes related to Early Discharge alter elective Percutaneous Coronary Intervention: COED PCI Reference: Purushothaman Muthusamy MD, et al. Catheterization and Cardiovascular Intervention 81:6-13 (2013) The standard procedure in most institutions is that after angioplasty (PTCA) patients are discharged the next morning. There are some reports in which they were ambulatory but the safety<a href="https://solaci.org/en/2013/01/04/n-3144/" title="Read more" >...</a>
Chronic Total Occlusions, challenging but very possible
Original title: Predictors of Reocclusion After Successful Drug-Eluting Stent–Supported Percutaneous Coronary Intervention of Chronic Total Occlusion. The Florence CTO PCI Registry. Reference: Renato Valenti et al. J Am Coll Cardiol 2013; article in press. Previous registry data have shown a reduction in mortality rates in patients with successful recanalization of a Chronic Total Occlusion (CTO) compared to patients<a href="https://solaci.org/en/2013/01/03/n-3130/" title="Read more" >...</a>
More evidence supports ventricular assist devices in complex angioplasty procedures
Original title: Percutaneous Left Ventricular Assist Device with Tandem Heart for High-Risk Percutaneous Coronary Intervention: The Mayo Clinic Experience. Reference: Oluseun O Alli, et al. Catheterization and Cardiovascular Intervention 80:728:734 There is a small group of poor surgical patients admitted for surgery that due to complex comorbidity, coronary anatomy and compromised left ventricular function that can be treated<a href="https://solaci.org/en/2012/12/17/n-3333/" title="Read more" >...</a>
Diabetics with multivessel, must keep waiting.
Original title: Strategies for Multivessel Revascularization in Patients with Diabetes. The FREEDOM Trial. Reference: Michael E. Farkouh et al. N Engl J Med 2012. DOI: 10.1056/NEJMoa1211585 This study was designed to determine the best revascularization strategy in diabetic patients with multivessel using current techniques of angioplasty (PCI) and surgery (CABG). Randomized 1:1 diabetic patients with injuries > 70%<a href="https://solaci.org/en/2012/11/08/n-3732/" title="Read more" >...</a>
Six Months Sufficient for Dual Antiplatelet Therapy
Reference: Kandzari DE, Barrer CS, Leon MB, et al. Dual antiplatelet therapy duration and clinical outcomes following treatment with zotarolimus-eluting stents. JACC Cardiovasc Interv 2011; 4: 1119-28.2011; 4: 1119-28. Patients treated with zotarolimus-eluting stents (ZES) suffer no excess late ischemic events if they take dual antiplatelet therapy for 6 months instead of 12 months or longer,<a href="https://solaci.org/en/2011/11/29/n-4005/" title="Read more" >...</a>
System Delays for STEMI patients linked to subsequent heart failure care
Reference: Terkelsen CJ, Jensen LO, Tilsted H-H, et al. Health care system delay and heart failure in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: Follow-up of population-based medical registry data. Ann Intern Med 2011; 155: 361-7. In patients with ST-segment myocardial infarction (STEMI), delays in obtaining primary percutaneous coronary intervention (PCI)<a href="https://solaci.org/en/2011/10/07/n-3991/" title="Read more" >...</a>
Coronary CTA Use in Emergency Department saves time and money
Reference: Goldstein JA, Chinnaiyan KM, Abidov A, et al. The CT-STAT (coronary computed tomographic angiography for systemic triage of acute chest pain patients to treatment) trial. J Am Coll Cardiol 2011; 58: 1414-22. Using coronary computed tomographic angiography (CTA) as a screening tool for low-risk patients with chest pain in the emergency department achieves lower costs<a href="https://solaci.org/en/2011/10/07/n-3998/" title="Read more" >...</a>
Tres Reglas para Identificar Infarto en la Guardia
Prioridad en la Evaluación Electrocardiográfica Inmediata en la Guardia: Validación de un Algoritmo En las actuales directrices internacionales se recomienda la inmediata realización ( Con el objeto de identificar los escenarios clínicos asociados a la presentación de un paciente con IAMST, un estudio epidemiológico recientemente publicado analizó todos los casos registrados durante el período 2007<a href="https://solaci.org/en/2011/01/01/n-4033/" title="Read more" >...</a>
Estenosis aórtica: prevalencia, directrices, nuevos tratamientos y datos actuales.
Estudios epidemiológicos han determinado que una de cada ocho personas de 75 años o mayores sufren de estenosis aórtica (EA) moderada o severa.1 Varios sondeos han mostrado que muchos pacientes con EA severa no se derivan a un equipo cardiológico para evaluar una sustitución de la válvula.2 La sustitución de válvula aórtica (SVA) quirúrgica es<a href="https://solaci.org/en/2011/01/01/n-4040/" title="Read more" >...</a>