Tag: myocardial infarction

Image: PD  1. Among patients diagnosed with non ST-segment elevation myocardial infarction (NSTEMI) independent of cardiac troponin levels, 26% of patients did not meet the >20% delta criteria for diagnosis.  2. NSTEMI patients not meeting the delta troponin criteria were more likely to present with primary symptoms other than chest pain...
Image: PD 1. The rate of stroke, myocardial infarction or death did not differ significantly between patients treated with carotid artery stenting compared to carotid endarterectomy. 2. The periprocedural rate of stroke was higher with stenting while the rate of myocardial infarction was higher with endarterectomy. Original Date of Publication: July 1,...
Image: PD 1. There was no significant difference in the composite rate of death, nonfatal myocardial infarction, or rehospitalization for angina in patients with acute coronary syndromes treated with early invasive versus selectively invasive strategies 2. Myocardial infarction was significantly more frequent in the early invasive management group but rehospitalization was...
Classics Series, Landmark Trials in Medicine
Image: PD 1. Carvedilol significantly reduced mortality from cardiovascular causes and recurrent non-fatal MI. 2. While carvedilol treatment was associated with a 23% relative risk reduction in all-cause mortality, this did not reach statistical significance. 3. These findings are consistent with previous trials exploring the benefits of beta-blockers in managing acute MI. Original...
Image: PD 1. The prevalence of silent myocardial infarction (MI) in patients referred for coronary artery disease (CAD) evaluation is higher than previously thought, approaching one-quarter of all patients in this study.   2. Silent MI is 50% more common among patients with diabetes mellitus.   Evidence Rating Level: 2 (Good)   Study Rundown: Silent myocardial...
Image: PD 1. The use of class IC anti-arrhythmic agents flecainide and encainide in patients following myocardial infarction with left ventricular dysfunction increases the risk of death due to arrhythmia and shock. Study Rundown: Venticular arrhythmia is a major cause of cardiac death following myocardial infarction. Thus, the CAST study sought to determine...
Image: PD 1. Major adverse cardiac event rates at 30 days and 12 months after percutaneous coronary intervention are similar at hospitals with or without on-site cardiac surgery. 2. Procedural success rates are similar with or without on-site cardiac surgery while outcomes vary based on the hospitals. Published today, this randomized study found...
Image: CC/JHeauser 1. For early STEMI patients who could not undergo timely PCI within 1 hour, prehospital fibrinolysis coupled with coronary angiography was non-inferior to PCI. 2. Fibrinolytic therapy was associated with an increased risk of stroke and intracranial hemorrhage. This multi-center randomized control study randomized patients with early STEMI who could...
Image: CC/L. academia 1. This trial found a 31% reduction in risk of death associated with implantation of a defibrillator compared to conventional therapy. 2. Rates of hospitalization with heart failure were somewhat higher in the defibrillator group, though this did not reach significance. Study Rundown: Prophylactic implantation of a defibrillator may improve...
Feb 25th - Study groups assigned to eat a Mediterranean diet had fewer composite cardiovascular events than a group assigned to eat a standard low-fat diet. Image: CC/PatrickLynch 1. In a study released today, groups assigned to eat a Mediterranean diet had fewer composite cardiovascular events than a group assigned to...