Publications by authors named "C Scardino"
Background: The long-term cardiovascular (CV) outcomes of COVID-19 have not been fully explored.
Methods: This was an international, multicenter, retrospective cohort study conducted between February and December 2020. Consecutive patients ≥18 years who underwent a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) for SARS-CoV2 were included.
Article Synopsis
- The study explored the effectiveness of emergency coronary angiography (CAG) and percutaneous coronary intervention (PCI) in improving survival and neurological outcomes for patients who experienced out-of-hospital cardiac arrest (OHCA) without STEMI.
- Researchers conducted a randomized trial with 69 OHCA survivors, assigning them to either immediate CAG or deferred CAG, focusing on in-hospital survival and major adverse cardiac events as primary endpoints.
- Results showed no significant difference in survival rates between the immediate and delayed CAG groups, concluding that immediate intervention did not offer benefits in terms of survival without neurological impairment.
Article Synopsis
- Sudden cardiac death (SCD) significantly affects healthcare due to its cardiological and neurological complications, especially among the elderly, leading to more admissions in intensive care.
- A study analyzing SCD patients from five hospitals found that patients aged 80 and older received less aggressive treatments, like new antiplatelet agents and coronary angiography, compared to younger patients.
- While older age was linked to worse survival rates, it did not correlate with poorer neurological outcomes; instead, factors like rhythm type and time to CPR were more predictive of outcomes regardless of age.
The aim of this observational study was to assess long-term prognosis of a contemporary octogenarian population admitted to an Intensive Cardiac Care Unit with acute myocardial infarction (MI), and the prognostic value of two simple biomarkers obtained at admission: glucose blood level (ABG) and estimated glomerular filtration rate (eGFR). A total of 293 consecutive patients were included (202 with ST elevation MI and 91 with non-ST elevation MI) with median age 83.9 years, 172 (58.
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- Severe mitral regurgitation (MR) after acute myocardial infarction (MI) is linked to high mortality, prompting a study of outcomes for different treatment methods, including conservative, surgical, and percutaneous interventions.
- A total of 471 patients were analyzed, showing that early intervention (either surgical or percutaneous) led to lower in-hospital and one-year mortality rates compared to conservative treatment, despite patients in intervention groups being in worse clinical condition.
- While immediate success rates were similar for surgical mitral valve repair and percutaneous methods, the surgical approach had higher in-hospital and one-year mortality rates, suggesting percutaneous repair may be a safer alternative to surgery.