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Using the ESC 0/1-Hour Algorithm in Patients with Known Coronary Artery Disease

Although chest pain is a common complaint among people presenting to the emergency department, less than 10% of them are ultimately diagnosed with acute coronary syndrome. Can use of this troponin-only algorithm predict low-risk patients who can be safely discharged?

Anti-Inflammatory Therapy: The Next Step for Patients with Atherosclerosis Already Taking Statins?

This collaborative analysis of 31,245 patients being treated for hyperlipidemia demonstrated that those who also had elevated hsCRP levels had worse outcomes. Combined use of lipid-lowering and inflammation-inhibiting therapies may be the future of atherosclerosis management.

Cardiovascular Outcomes in Nonagenarians: 'Better than Expected'

Researchers in Israel examined the prognosis and outcomes of patients at least 90 years of age who were admitted to an intensive coronary care unit, comparing their experiences with those of younger patients.

ACS Spells Post-TAVI Trouble

Using data from more than 44,000 patients, researchers at the University of Pittsburgh examined rates of acute coronary syndrome after transcatheter aortic valve implantation and the outcomes associated with readmissions for ACS.

In ACS, What are the Prognostic Implications of Persistent vs Transient Acute Kidney Injury?

Not much is known about the impact of transient AKI compared with persistent AKI in patients with ACS, but a recent study shed some light on their differences.
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Post-PCI Bleeding Predicted by Scores on PRECISE-DAPT and ARC-HBR

PRECISE-DAPT and ARC-HBR have moderate and similar predictive ability in determining in-hospital bleeding risk following PCI independent of gender.

What Role for High-Sensitivity Cardiac Troponin T Level Testing in ACS Patients?

By conducting a secondary analysis of data from IMPROVE-IT, researchers in the U.S. examined the association of serial high-sensitivity cardiac troponin T with subsequent cardiovascular events in patients who were stabilized after acute coronary syndrome.

In Patients Treated for Acute Myocardial Infarction, Care Fragmentation is Associated with Poor Outcomes

A recent study found that care fragmentation increased from 2010 to 2019 and was associated with higher in-hospital mortality, increased length of stay, and increased hospital costs.

For Short-Term LDL Reduction, Low-Dose Statin is More Effective Than Dietary Supplements

Low-dose rosuvastatin is associated with greater reductions in LDL-C and a similar safety profile when compared with supplements among persons with elevated ASCVD risk.

Ischemic Heart Disease and Heart Failure Linked to Salt Shaker Overuse

Using prospective data from the UK, investigators found that people who frequently add salt to foods after cooking have a higher risk of developing ischemic heart disease and heart failure.

In-hospital Cardiac Arrest Survival Continues to Increase. Out-of-hospital Cardiac Arrest, Not So Much

Following an increase during the 2000s, OHCA survival has leveled off in Sweden. Survival from IHCA has increased most dramatically during the past decade, with continued progress expected.

How Effective Is Coronary CTA for Evaluating Chest Pain?

These investigators compared the utility of coronary computed tomographic angiography (CCTA) and noninvasive testing for unexplained chest pain. The findings may lead to more-effective treatments and a better prognosis for patients.
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Cardiovascular Risk Factors in Adult Survivors of Childhood Cancer

When the cancer is cured, clinicians—especially primary care providers—shouldn’t let their guard down, but should instead be aware of, and take seriously, the higher risk of CVD in this now-vulnerable population.

Using the Flu Vaccine to Reduce Cardiovascular Risk?

The results of a recent meta-analysis found that cardiovascular-related mortality among vaccine recipients was lower than those of people who received no flu vaccine.

Types 1 and 2 MI: Getting to Accurate Treatment Strategies

These findings add to our knowledge about T2MI not being a single entity but a heterogeneous group of subtypes with various mechanisms of oxygen supply and demand imbalance.

Cardiac Arrest: Neurologic and Psychiatric Outcomes in Survivors

Investigators in Denmark examined nationwide data to determine the possible downstream effects of cardiac arrest.

Dietary Fiber, Inflammation, and CVD in Older Adults

Understanding the impact of fiber on inflammation and CVD risk reduction could help inform care in this patient population.
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In ACS, Lipoprotein(a) May be an Important Indicator

A recent study demonstrates that in patients with ACS, Lp(a) could be a potential therapeutic target for amelioration of long-term cardiovascular outcomes.

In ACS, Using Lesion Characteristics in Risk Stratification

A recent study characterized the prognostic value of adverse geometric characteristics of coronary lesions in predicting future acute coronary syndrome events.

Can This Model Help Certain Heart Patients Avoid an Invasive Procedure?

Using data from the Cleveland Clinic and the University of Pittsburgh, researchers have created and validated a model that can predict a low risk for having high-risk coronary anatomy, a finding which could potentially avoid complications from unnecessary invasive coronary angiography.

Long-Term Prognosis Is Worse for These Heart Patients

A recent analysis of patients hospitalized for acute coronary syndrome (ACS) with a history of nonvalvular atrial fibrillation (NVAF) found increased risk of all-cause mortality and secondary cardiovascular events, which persisted for up to 3 years after hospitalization.

Complementary and Integrative Medicine in CVD: More Common Than You May Think

A new study reveals insights regarding the use of complementary and integrative medicine therapy--including the use of dietary supplements and mind-body interventions--among patients with cardiovascular disease.

(Sort of) Estimating CV Risk in Patients with Type 2 Diabetes

Risk calculators currently in use are missing the mark—widely, in many cases—when it comes to predicting which patients with type 2 diabetes are at the greatest risk for CVD, says the team behind a new study.

Do Omega-3 Fatty Acids Reduce CV Risk? STRENGTH Versus REDUCE-IT

High doses of omega-3 fatty acids have been touted as a way to reduce the risk of cardiovascular (CV) events in susceptible individuals. But does the science support the recommendation?
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Cardiac Complications in Patients with Familial Hypercholesterolemia

Research examining the relationship between familial hypercholesterolemia and acute coronary syndrome provides important insights for the treatment and monitoring of patients with both conditions.

Memory Decline After Coronary Revascularization: Procedure Type Does Not Change Risk

The relative risk of postoperative memory decline among patients undergoing coronary revascularization appears to be the same for PCI and CABG, according to a new retrospective cohort study.

1-Year BP Variability: Association with Long-term Mortality in Adults With CAD

In a large population of older patients with HTN and CAD—a post hoc analysis from the INVEST trial--short-term visit-to-visit SBP variability was associated with excess long-term mortality, especially in women.

Thrombus Aspiration and Outcomes in Patients with STEMI

What are the benefits of thrombus aspiration for patients with ST-segment elevation myocardial infarction (STEMI) who present early after symptom onset and are referred for percutaneous coronary intervention?

In Patients with AMI and Anemia, Do We Know the Best Blood Transfusion Strategy?

A recent trial analyzed whether a restrictive transfusion strategy was clinically noninferior to a liberal transfusion strategy in this group of patients.
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Newly Diagnosed ACS and Preexisting OSA: A Bad Mix

This meta-analysis showed preexisting OSA is associated with increased risk of cardiovascular and cerebrovascular events in patients with newly diagnosed acute coronary syndrome.

CVD Emergencies and Hospitalizations Plummet During COVID-19 Pandemic

We know that many patients have been reluctant to seek medical care during the COVID-19 pandemic. A recent pooled analysis confirmed a 27% decrease in hospitalizations related to ACS. Yes, we should be worried.

“ACS” Discharge from the ED: Is One Conventional Troponin Determination Enough?

How many troponin tests/results, what type of troponin assay, and what other risk stratification tools should be used when patients are evaluated for ACS in the ED?