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| http://dx.doi.org/10.1161/CIR.0000000000000678 | DOI Listing |
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The Appropriate Utilization of Beta-Blockers in Acute Coronary Syndrome Patients: An Improvement Initiative.
Cureus
December 2024
Cardiology, Tata Main Hospital, Jamshedpur, IND.
Background and objective Beta-blockers are a cornerstone in the management of acute coronary syndrome (ACS), effectively reducing myocardial oxygen demand, preventing recurrent ischemia, and lowering the risk of arrhythmias and reinfarction. Despite several established guidelines, such as those by the American College of Cardiology/American Heart Association (ACC/AHA), advocating their use within 24 hours for eligible patients, beta-blockers remain underutilized in clinical practice. This study aimed to analyze beta-blocker utilization patterns in ACS management and evaluate the impact of targeted improvement initiatives on their appropriate use in eligible ACS patients.
View Article and Find Full Text PDFSex-specific association of low-renin hypertension with metabolic and musculoskeletal health in Korean older adults.
Front Public Health
February 2024
Department of Internal Medicine, Division of Endocrinology and Metabolism, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Introduction: Low-renin hypertension (LRH) accounts for approximately one-third of patients with hypertension and are more prevalent in women and the older adult population. Previous study has found a link between the renin-angiotensin-aldosterone system (RAAS) and sex hormones. However, there are insufficient data on the relationship between LRH and metabolic or musculoskeletal outcomes in older adults.
View Article and Find Full Text PDFClinical characteristics and statin eligibility of patients under 50 with ST-elevation myocardial infarction.
Clin Cardiol
February 2024
Division of Cardiovascular Medicine, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
Aims: This study seeks to understand the clinical characteristics, risk factors, and statin eligibility of younger adults who present with STEMI.
Methods: We performed a retrospective analysis of a prospective cohort of STEMI patients <50 years. Baseline characteristics, medical history, prior medications, drug use, lipid profiles, cardiovascular risk factors were examined.
Updated CRUSADE score to predict in-hospital bleeding: External validation in the Thai percutaneous coronary intervention registry.
Catheter Cardiovasc Interv
February 2024
Cardiology Unit, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.
Article Synopsis
- The CRUSADE score is used to assess in-hospital bleeding risks for patients with NSTEMI going through PCI, particularly in Asian populations like those in Thailand.
- A study was conducted using data from the Thai PCI registry to validate and simplify the CRUSADE score, concluding that both the original and a revised version accurately predicted major bleeding outcomes.
- The final simplified version of the CRUSADE score, which only incorporates four key factors, also demonstrated strong predictive ability, indicating its effectiveness in the Thai NSTEMI patient population.
Trans-radial Angioplasty of Anomalous Origin of Right Coronary Artery: A Single-Centre Experience.
Mymensingh Med J
January 2024
Dr Sahela Nasrin, Associate Professor & Consultant, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh; E-mail:
Successful percutaneous coronary intervention (PCI) to anomalous coronary arteries is technically challenging, particularly through transradial route. The application of appropriate techniques and devices may help overcome these challenges. The objective of this study is to explore the technical and procedural challenges in percutaneous coronary intervention (PCI) of anomalous origin of right coronary artery (AORCA) through the trans-radial route.
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