Abstract:
BACKGROUND:The impact of final Thrombolysis in Myocardial Infarction (TIMI) flow in the infarct-related artery (IRA) on outcomes in non-ST-segment elevation myocardial infarc-tion (NSTEMI) patients treated with percutaneous coronary intervention (PCI) is unknown. This study aimed to evaluate the impact of post-procedural TIMI flow in IRA on outcomes in NSTEMI patients undergoing percutaneous coronary revascularization. METHODS:We analyzed 2,767 patients with first NSTEMI from the Polish Registry of Acute Coronary Syndromes (PL-ACS) who underwent PCI. The patients were divided according to post-procedural culprit vessel TIMI (0-1: 90, 3.26%; 2: 61, 2.20%; 3: 2,616, 94.54%). RESULTS:The following mortality values were obtained in TIMI 0-1, 2, and 3 groups, respec-tively: in-hospital, 12.22%, 13.11%, 1.72% (p < 0.0001); 1-month, 13.33%, 13.11%, 3.44% (p < 0.0001); 12-month, 15.56%, 16.39%, 6.50% (p < 0.0001); 36-month, 25.56%, 21.31%, 13.91% (p = 0.0007). Mortality rates in patients with final TIMI 0-1 and 2 were not signifi-cantly different. Optimal TIMI 3 was independently associated with baseline TIMI 2-3 (OR ± ± 95% CI: 7.070 [4.35-11.82]), p < 0.0001; higher ejection fraction (1.30 [1.03-1.63]), p = 0.0038; and family history of coronary artery disease (2.83 [1.17-8.11]), p = 0.0294. Type C lesion, previous heart failure, and PCI without stenting independently predicted suboptimal TIMI 0-2. CONCLUSIONS:Only achieving final TIMI 3 in IRA improves outcomes in NSTEMI patients treated with percutaneous coronary revascularization. The mortality rate of near-normal TIMI 2 is comparable to that of TIMI 0-1 after PCI. (.
journal_name
Cardiol Jjournal_title
Cardiology journalauthors
Karwowski J,Poloński L,Gierlotka M,Gąsior M,Bęćkowski M,Kowalik I,Szwed Hdoi
10.5603/CJ.a2016.0025subject
Has Abstractpub_date
2016-01-01 00:00:00pages
402-10issue
4issn
1897-5593pii
VM/OJS/J/43915journal_volume
23pub_type
杂志文章,多中心研究abstract:BACKGROUND:Reperfusion therapy is known to improve prognosis and limit myocardial damage after myocardial infarction (MI). The administration of antiplatelet drugs prior to percutaneous coronary intervention also proves beneficial to patients with acute MI (AMI). However, a good number of AMI patients do not receive re...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2019.0051
更新日期:2019-05-20 00:00:00
abstract:BACKGROUND:We aimed to prospectively assess the influence of the recommended dose, 1.0 g of polyunsaturated fatty acids (N-3 PUFA) daily, on platelet reactivity in patients with stable angina pectoris (SAP) after elective percutaneous coronary intervention (PCI). METHODS:Forty consecutive patients with SAP and success...
journal_title:Cardiology journal
pub_type: 杂志文章,随机对照试验
doi:10.5603/CJ.2013.0132
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Therapeutic hypothermia and targeted temperature management are considered standard of care in the management of patients following out-of-hospital cardiac arrests due to shockable rhythms to improve neurological outcomes. In those presenting out-of-hospital cardiac arrests associated with non-shockable rhyt...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/CJ.a2017.0016
更新日期:2017-01-01 00:00:00
abstract::This anesthetic drug may cause a rare condition named propofol infusion syndrome, characterized by unexplained lactic acidosis, lipemia, rhabdomyolysis, cardiovascular collapse and Brugada-like electrocardiographic pattern or Brugada electrocardiographic phenocopy changes following high-dose propofol infusion over pro...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Implantable loop recorders (ILR) are a valuable tool for the investigation of unexplainedsyncopal episodes. The aim of this retrospective single center study was to identify predictive factors for pacemaker implantation in patients with unexplained syncope who underwent ILR insertion. METHODS:One hundred si...
journal_title:Cardiology journal
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doi:10.5603/CJ.a2018.0008
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The relationship between right ventricle (RV), extracellular matrix (ECM) fibrosis and fibrosis-linked, circulating microRNAs in dilated cardiomyopathy (DCM) is unknown. AIM:The aim of the study was to uncover the associations between serum markers of ECM metabolism and circulating microRNAs with RV morphol...
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doi:10.5603/CJ.a2017.0099
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abstract:BACKGROUND:To investigate the effects of a noninvasive positive pressure ventilation therapy on cardiac structure and function in patients with coronary heart disease combined with obstructive sleep apnea/hypopnea syndrome (OSAHS). METHODS:80 coronary heart disease OSAHS patients from three hospitals in Shanghai were ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2014.0042
更新日期:2014-05-20 00:00:00
abstract:BACKGROUND:Coronary sinus (CS) has been shown to be larger in patients with atrioventricular nodal reentrant tachycardia (AVNRT). We sought to determine if echocardiographically measured CS diameter can help identify the mechanism of tachycardia in patients with narrow complex tachycardia without preexcitation before t...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2013.0088
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Anthracycline-induced cardiotoxicity remains a significant and unresolved issue in patients receiving chemotherapy. The aim of this study was to evaluate left ventricular (LV) twisting function by three-dimensional speckle tracking echocardiography (3D-STE) in patients with lymphoma after anthracycline thera...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0035
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The relationship between admission triglyceride (TG) levels and long-term outcomes has not been established in patients with acute coronary syndrome. We tested the hypothesis that patients who develop non-ST segment elevation myocardial infarction (NSTEMI) despite low TG have a worse cardiovascular outcome i...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Cardiac resynchronization therapy (CRT) is electrical resynchronization of the ventricles. Bachmann's bundle (BB) pacing is considered to be electrical resynchronization of the atria. Atrial fibrillation (AF) and congestive heart failure (HF) often coexist in the same patient. A 69 year-old man who underwent CRT combi...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The associations between statin and coronary plaque compositional changes were re-ported according to the use of high dose or not. An evaluation of the impact of low-density lipoprotein cholesterol (LDL-C) < 70 mg/dL by using real world dosages of statin on coronary plaque composition was undertaken. METHOD...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0002
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The additional purpose for pacemaker implantation, beyond treating arrhythmias and conduction disturbances, is to improve the quality of life (QoL) of the patient. Most previous research has shown this purpose to have been achieved. However, the question as to whether all mental and physical components impro...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::n/a - brief communication. ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2019.0099
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The Amplatzer Amulet (St. Jude Medical, Minneapolis, MN, USA) is a second gen-eration Amplatzer device for left atrial appendage (LAA) occlusion (LAAO) for stroke prophylaxis in patients with atrial fibrillation. This research sought to assess the clinical performance of the Amplatzer Amulet device and in fo...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0017
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the usefulness of a novel clinical score - the InterTAK Diagnostic Score in differentiating Takotsubo syndrome (TTS) from acute coronary syndrome (ACS). METHODS:Medical records of 40 consecutive patients with ACS and 20 patients with TTS were managed and retrospectively...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2019.0086
更新日期:2019-09-06 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract::We describe the case of a 57 year-old woman with NSTE ACS, a history of recurrent and prolonged epistaxis, and low prior cardiovascular risk. Additional findings revealed anemia and an aneurysm in her central nervous system. During her hospital stay, hereditary hemorrhagic telangiectasia (HHT) was diagnosed. After app...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Herein is hypothesised that a comprehensive optical coherence tomography (OCT)-guided implantation protocol for bioresorbable scaffolds (BRS) can improve expansion and apposition, thus resulting in better clinical outcomes, particularly in reducing thrombotic events. METHODS:Patients considered suitable for...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0055
更新日期:2018-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2016.0034
更新日期:2016-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章,评审
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更新日期:2013-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.5603/CJ.a2019.0114
更新日期:2019-01-01 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2013.0143
更新日期:2014-01-01 00:00:00
abstract::Dysautonomic syndromes are very common clinical conditions with different presentations and a wide spectrum of mechanisms. Many non-pharmacological and pharmacological interventions have been recommended to treat dysautonomic patients along these years, but the majority of them were not supported by multicenter contro...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/CJ.2014.0093
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Rheumatic mitral stenosis (MS) is still a common disease in developing countries with high morbidity and mortality rates. The purpose of the study was to evaluate arterial stiffness in severe MS before and after percutaneous mitral balloon valvuloplasty (PMBV). METHODS:Thirty patients with MS in sinus rhyth...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2012.0109
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Cardiac autonomic neuropathy (CAN) is a complication of diabetes mellitus (DM) that is associated with increased mortality. Exercise-based assessment of autonomic function has identified diminished parasympathetic reactivation after exercise in type 2 DM. It is postulated herein, that this would be more prom...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0064
更新日期:2020-05-07 00:00:00
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journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0048
更新日期:2019-01-01 00:00:00