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Coronary Artery Disease
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
After symptoms resolve, most patients undergo coronary angiography in the first 24–48 hours after being hospitalized. This detects lesions requiring treatment. The procedure usually combines diagnosis with PCI to perform angioplasty and/or place a stent. Later, coronary angiography can be used if there are signs of continuing ischemia, based on symptoms or ECG, hemodynamic instability, recurring ventricular tachyarrhythmias, and any abnormality suggesting recurrence of ischemia.
CABG in acute coronary syndrome
Published in K Sarat Chandra, AJ Swamy, Acute Coronary Syndromes, 2020
In the experience of Pi et al. [2], the median time interval from coronary angiography to CABG was 23.3 hours in CABG only group, 49.7 hours in CABG after PCI and 56.6 hours in CABG after fibrinolytic therapy. Patients receiving DAPT had the longest delay of a median of 73.0 hours, thereby suggesting that the surgeons do have concerns of bleeding in these patients [2]. Unfortunately, due to the lack of authentic data, there are no LOE ‘A’ recommendations for optimal timing of CABG in AMI. Timing of surgery may even be guided by anti-platelet therapy (discussed later).
Cardiovascular system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Once inserted the catheter is passed into the ascending aorta and can then be selectively placed in the aorta, left ventricle or coronary arteries (in the last case known as coronary angiography). Passage of the catheter may damage or dislodge atheromatous plaques resulting in a risk of stroke or other complications.
Increased discharge heart rate might be associated with increased short-term mortality after acute coronary syndrome
Published in Acta Cardiologica, 2023
Umit Yuksek, Levent Cerit, Belma Yaman, Hatice Kemal, İlker Etikan, Onur Akpınar, Hamza Duygu
The study enrolled consecutive ACS patients presenting to our hospital, who survived in the hospital, had a hospital discharge heart rate record in their files, and accepted to enter the study. Discharge heart rate was defined as the last measured heart rate in 24 h before discharge. The patients were collected in a centre without a coronary angiography laboratory, but the nearest laboratory was 2.5 h away from our hospital. All patients were enrolled including unstable angina pectoris, STEMI, and non-ST elevation myocardial infarction. There were no exclusion criteria. The study included both conservatively managed patients and patients who were referred for coronary angiography. A total of 473 patients were included in the study. The local ethics committee approved the study (Kırıkkale University Scientific Studies Ethics Committee) and the study fulfilled the criteria of the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Review of the international hypnosis literature
Published in American Journal of Clinical Hypnosis, 2022
Shelagh Freedman, Ian Wickramasekera
This study examined the use of suggestions delivered during hypnosis to lessen anxiety associated with an angiography. A coronary angiography is used to diagnosis coronary artery disease, however, both the procedure and the possibility of discovering disease are sources of anxiety. Here, 169 patients requiring their first, non-urgent angiography were split into two groups. The control group (84) had a conversational meeting with a hypnotist, while the intervention group participated in a hypnosis session in their hospital room right before leaving for the angiography unit. The hypnosis session involved post-hypnotic suggestions for self-hypnosis in the angiography so the patients could manage their potential anxiety and pain. State and trait anxiety were measured the day before the procedure, and state anxiety was measured again immediately before the procedure.
The relationship between H2FPEF and SYNTAX scores in patients with non-ST elevation myocardial infarction
Published in Acta Cardiologica, 2021
Emrah Bayam, Macit Kalçık, Burak Öztürkeri, Ersin Yıldırım, Ahmet Karaduman, Semih Kalkan, Ayhan Küp, Nuran Günay, Ahmet Güner, Muzaffer Kahyaoğlu, Cihangir Uyan
All patients underwent coronary angiography within 2 days following their admission. Coronary angiography was performed via femoral access in our catheterisation laboratory under standard conditions by an experienced interventional cardiologist. Images were recorded in multiple projections for the left and right coronary arteries on a digital system for quantitative analysis. The SYNTAX scoring system was used to evaluate the severity and extent of coronary stenotic lesions. The coronary angiograms were interpreted by two independent and experienced interventional cardiologists (high level of knowledge and previous training in this scoring system) who were blinded to the characteristics of the patients. Each coronary lesion with ≥50% diameter stenosis in vessels ≥1.5 mm was scored separately and added together to provide the overall SYNTAX score using the algorithms described in detail on SYNTAX score web site (www.syntaxscore.com). All demographic, laboratory, electrocardiographic, echocardiographic, and angiographic parameters were recorded in a dataset and compared between patients with low (≤22) and high SYNTAX score (>22).