Publications by authors named "J Lefkovits"
Article Synopsis
- The study investigates acute myocardial infarction (AMI) in major trauma patients, which is often overlooked in both trauma and cardiology fields.
- Using data from the Victorian State Trauma Registry from 2013 to 2022, researchers focused on patients with significant injuries and examined their clinical outcomes related to AMI.
- They found that 1.4% of trauma patients experienced AMI, typically in older individuals with more health issues, leading to longer hospital stays and higher mortality rates compared to those without AMI.
Article Synopsis
- - The study analyzed the impact of COVID-19 lockdown on emergency medical service (EMS) usage and percutaneous coronary intervention (PCI) in Australia, observing an increase in EMS calls for acute coronary syndrome (ACS) during lockdown compared to other periods.
- - The number of daily PCI cases remained stable across all periods, including during lockdown, while the median time from door to procedure for ACS was shorter during lockdown, indicating efficient response despite the pandemic.
- - Lockdown also correlated with lower odds of major adverse cardiovascular and cerebrovascular events (MACCE) within 30 days following treatment, suggesting a potentially positive impact on patient outcomes during that time.
Aim: We aim to describe prevalence of Emergency Medical Service (EMS) use, investigate factors predictive of EMS use, and determine if EMS use predicts treatment delay and mortality in our ST-elevation myocardial infarction (STEMI) cohort.
Method: We prospectively collected data on 5,602 patients presenting with STEMI for primary percutaneous coronary intervention (PCI) transported to PCI-capable hospitals in Victoria, Australia, from 2013-2018 who were entered into the Victorian Cardiac Outcomes Registry (VCOR). We linked this dataset to the Ambulance Victoria and National Death Index (NDI) datasets.
Background: Clinical outcomes of patients with renal transplant (RT) undergoing percutaneous coronary intervention (PCI) remain poorly elucidated.
Method: Between 2014 and 2021, data were analysed for the following three groups of patients undergoing PCI enrolled in a multicentre Australian registry: (1) RT recipients (n=226), (2) patients on dialysis (n=992), and (3) chronic kidney disease (CKD) patients (estimated glomerular filtration rate [eGFR], 30‒60 mL/min per 1.73 m) without previous RT (n=15,534).
Introduction: While pyrophosphate uptake imaging with Technetium-99 m pyrophosphate (Tc-99 m PYP) is frequently used for cardiac ATTR amyloid imaging, its role in determining the timing of acute myocardial infarction (AMI) is near forgotten. We present a case that demonstrates the clinical benefit of pyrophosphate uptake imaging in differentiating recent from remote infarction as a reminder of the continued utility of pyrophosphate uptake imaging for this indication.
Case And Outcomes: A 68-year-old male was referred for surgical replacement of his bicuspid aortic valve with severe aortic regurgitation.