Publications by authors named "Cesia Gallegos-Kattan"
Article Synopsis
- - Transthyretin cardiac amyloidosis (ATTR-CA) is more commonly diagnosed in older men, but research indicates that women may be underrepresented in previous statistics regarding its prevalence.
- - The SCAN-MP study used nuclear imaging to assess ATTR-CA in older Black and Caribbean Hispanic individuals, revealing that this cohort had a higher percentage of women (31.3%) compared to a referral center (13.3%).
- - Women in the SCAN-MP cohort displayed a less severe form of the disease, indicated by higher heart function and lower heart mass, suggesting that targeted identification in women is essential to address existing sex disparities in ATTR-CA diagnoses.
Article Synopsis
- Researchers explored using artificial intelligence (AI) to improve the diagnosis of transthyretin amyloid cardiomyopathy (ATTR-CM) through echocardiograms (TTE) and electrocardiograms (ECG), potentially allowing for earlier detection of the disease.
- They trained deep learning models to identify ATTR-CM patterns, achieving high accuracy in recognizing these signatures from cardiac data in two large patient groups.
- The study found that AI can effectively predict the likelihood of ATTR-CM in individuals up to three years before a formal diagnosis, suggesting that it could help identify patients who might benefit from early treatment options.
Background: Patients with type 2 diabetes mellitus (DM) comprise more than a quarter of all patients undergoing percutaneous coronary intervention and are at higher risk of adverse events. We sought to reexamine the optimal duration of dual antiplatelet therapy (DAPT) postpercutaneous coronary intervention in patients with DM.
Methods: We systematically included randomized controlled trials comparing any 2 of 1, 3, 6, and 12 months of DAPT that reported major adverse cardiovascular events (MACE), net adverse clinical events (NACE), bleeding, or stent thrombosis in DM, and performed a frequentist network meta-analysis.
Article Synopsis
- This document is the first in the ASNC I series focusing on the role of radionuclide imaging for diagnosing cardiovascular infections, notably infective endocarditis, using a detailed consensus-based approach.
- It highlights the rising incidence of cardiovascular infections, which present high risks and complications, and discusses the limitations of current diagnostic methods like echocardiography.
- Advanced imaging techniques such as FDG PET/CT and SPECT/CT can improve diagnostic accuracy by revealing infection in cardiac devices and surrounding areas, emphasizing the need for better imaging strategies in complex cases.
F-FDG PET/CT and Radiolabeled Leukocyte SPECT/CT Imaging for the Evaluation of Cardiovascular Infection in the Multimodality Context: ASNC Imaging Indications (ASNC I) Series Expert Consensus Recommendations From ASNC, AATS, ACC, AHA, ASE, EANM, HRS, IDSA, SCCT, SNMMI, and STS.
JACC Cardiovasc Imaging
June 2024
Article Synopsis
- * A thorough consensus was reached using a modified Delphi method to outline clinical indications, diagnostic criteria, and a structured algorithm for diagnosis due to the rising incidence and high risks associated with these infections.
- * Advanced imaging techniques, such as F-FDG PET/CT, can improve the evaluation and management of cardiovascular infections, particularly in complicated cases involving prosthetic valves and cardiac devices, while also highlighting the need for further research to optimize these applications.
This document on cardiovascular infection, including infective endocarditis, is the first in the American Society of Nuclear Cardiology Imaging Indications (ASNC I) series to assess the role of radionuclide imaging in the multimodality context for the evaluation of complex systemic diseases with multi-societal involvement including pertinent disciplines. A rigorous modified Delphi approach was used to determine consensus clinical indications, diagnostic criteria, and an algorithmic approach to diagnosis of cardiovascular infection including infective endocarditis. Cardiovascular infection incidence is increasing and is associated with high morbidity and mortality.
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- This document is the first in a series by the American Society of Nuclear Cardiology focusing on the use of radionuclide imaging for diagnosing cardiovascular infections, particularly infective endocarditis, in a comprehensive healthcare context.
- A modified Delphi method was used to establish clinical indications, diagnostic criteria, and a structured approach for diagnosing these infections, which are increasingly common and associated with significant health risks.
- Advanced imaging techniques, such as 18F-FDG PET/CT and SPECT/CT leukocyte scintigraphy, can significantly boost diagnostic accuracy and guide treatment decisions, especially for patients with complex cardiovascular issues or unclear initial imaging results.