20,746 results match your criteria: "Unstable Angina"

Introduction: Acute myocardial infarction (AMI) poses a significant global health burden, warranting meticulous management strategies, particularly in patients with concurrent anemia. Blood transfusion strategies play a pivotal role in optimizing oxygen delivery while minimizing transfusion-related risks. Two contrasting approaches, liberal and restrictive transfusion strategies, have emerged, yet their comparative effectiveness remains uncertain due to conflicting evidence.

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Background: Ezetimibe is known for its lipid-lowering safety and tolerability, but its real-world adverse effects have not been fully evaluated. In this study, adverse events associated with ezetimibe were investigated using the FAERS database for the period 2004 to 2023.

Research Design And Methods: Adverse events data for ezetimibe, spanning from the first quarter of 2004 to the fourth quarter of 2023, were standardized and analyzed using signal quantification methods like Reporting Odds Ratio (ROR), Proportional Reporting Ratio (PRR), Bayesian Confidence Propagation Neural Network (BCPNN), and Multi-item Gamma Poisson Shrinker (EBGM).

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Background: The classification of major adverse cardiovascular event (MACE) endpoints in patients with type 2 diabetes mellitus (T2DM) and either confirmed coronary artery disease (CAD) or high CAD risk, as well as the extent of the association between T2DM and coronary plaque characteristics, remains uncertain.

Purpose: This meta-analysis aims to compare MACE endpoints between patients with diabetes and patients without diabetes based on coronary artery plaques.

Methods: We searched studies from Web of Science, PubMed, Embase, and the Cochrane Library up until September 1, 2023.

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Morphine and P2Y12 Inhibitors in ST-Elevation Myocardial Infarction: An Updated Meta-Analysis.

Am J Cardiovasc Drugs

December 2024

Cardiovascular Institute, Detroit Medical Center, Heart Hospital, Wayne State University, 311 Mack Ave, Detroit, MI, 48201, USA.

Background: Morphine is used to control pain in ST-elevation myocardial infarction but reduces P2Y12 inhibition. It is not known if this modulation of platelet inhibition appreciably affects clinical outcomes.

Methods: We screened 979 articles and identified seven studies that met the eligibility criteria for meta-analysis.

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Introduction: Evolocumab's short-term efficacy and safety were proven in phase-3 clinical trial, but its long-term safety and effectiveness in the Saudi population are yet to be studied. The aim of this study was to assess the long-term safety and effectiveness of evolocumab in Saudi patients with primary hypercholesterolemia or mixed dyslipidemia.

Method: A retrospective cohort study evaluated adult patients who had newly been prescribed evolocumab for hypercholesterolemia or mixed dyslipidemia.

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Clinical significance of serum Helicobacter pylori antibody cytotoxin-associated gene A levels in patients with unstable angina.

Eur J Med Res

December 2024

Department of Ultrasound Imaging, Taikang Tongji (Wuhan) Hospital, No. 322 North Sixin Road, Hanyang District, Wuhan, 430050, Hubei, People's Republic of China.

Objectives: We investigated the clinical significance of serum Helicobacter pylori cytotoxin-associated gene A (CagA) antibody levels in 768 patients with unstable angina (UA).

Methods: Serum CagA levels were measured using ELISA. Demographic data, serum biomarkers, and SYNTAX scores were collected.

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Coronary artery disease is the leading cause of death among non-communicable diseases. The management strategy prioritizes early detection and optimal treatment, with emerging roles for imaging approaches. Photon-counting computed tomography is a new non-invasive diagnostic imaging tool that can detect high-risk plaques in coronary artery disease patients.

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The long-term risk of cardiovascular and thrombotic events following severe COVID-19 remains largely unknown. This study aimed to assess the risk of atherosclerotic cardiovascular disease (ASCVD) within one year after hospital discharge in patients who received intensive care for severe COVID-19. A register-based nationwide case-control study on a cohort of patients with severe COVID-19 (cases) requiring mechanical ventilation and discharged alive without experiencing cardiovascular or thrombotic events during their hospital stay.

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Background: A score based on age, creatinine level, and ejection fraction as well as hematocrit value and the presence of emergency surgery (ACEF-II) has been proposed to have predictive value for risk stratification in cardiac surgery. This study aimed to evaluate its utility in patients with non-ST-segment elevation myocardial infarction and unstable angina (NSTEMI-ACS) to predict 1-year major adverse cardiac events (MACE).

Methods: In all, 768 patients with NSTEMI-ACS were enrolled in the study.

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Aims: To investigate the association between triglyceride levels and major adverse cardiovascular events (MACE) in primary and secondary prevention cohorts.

Methods: This retrospective study was conducted with a nationwide health insurance claims database, which included approximately 3.8 million participants with medical checkups between January 2005 and August 2020 in Japan.

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Coronary-subclavian steal syndrome: A case series and review of the literature.

Vascular

December 2024

Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.

Objective: To report a case series of three patients with symptomatic coronary-subclavian steal syndrome (CSSS) and to review the literature on published case series.

Methods: We retrospectively reviewed three cases of CSSS patients treated with open and endovascular surgery at a single center over a period of three decades (1996-2024). A comprehensive review of case series involving more than three patients was also performed.

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Objective: Angina, a prevalent manifestation of coronary artery disease, is primarily associated with inflammation, an established contributor to the pathogenesis of atherosclerosis and acute coronary syndromes (ACS). Various inflammatory markers are employed in clinical practice to predict patient prognosis and optimize clinical decision-making in the management of ACS. This study investigated the prognostic significance of integrating commonly used, easily repeatable inflammatory biomarkers within a multimodal preoperative prediction model in patients presenting with unstable Angina Pectoris (UAP) and intermediate coronary lesions.

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Background: Percutaneous coronary intervention (PCI) outcomes can vary due to various factors, including patient clinical condition, complexity of coronary lesions, expertise of operators, and quality of the PCI center.

Aims: This study evaluated the influence of PCI center volume and operator experience on patient outcomes after the procedure.

Methods: Retrospective data on demographic, clinical details, and outcomes for all patients undergoing PCI across 39 hospitals in Thailand from 2018 to 2019 were retrieved.

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Mogamulizumab-Associated Autoimmune Diseases: Insights From FAERS Database Analysis.

Cancer Med

December 2024

Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

Background: Mogamulizumab is a monoclonal antibody targeting the C-C chemokine receptor 4, used to treat T-cell malignancies such as cutaneous T-cell lymphoma, adult T-cell leukemia/lymphoma, and peripheral T-cell lymphoma. However, real-world studies on mogamulizumab-associated adverse events (AEs) are limited.

Methods: Disproportionality analyses were performed to assess the safety profile of mogamulizumab based on data from the US Food and Drug Administration Adverse Event Reporting System (FAERS) database for the period spanning from October 2018 to December 2023.

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Gamma-glutamyl transferase to high-density lipoprotein cholesterol ratio: A valuable predictor of coronary heart disease incidence.

Nutr Metab Cardiovasc Dis

October 2024

Department of Emergency, Wuhan Fourth Hospital, No. 473 Hanzheng Street, Qiaokou District, Wuhan, Hubei, 430033, China.

Background And Aim: Existing studies have found that serological markers for predicting coronary heart disease (CHD) have relatively low predictive value for the severity of coronary arteries and the types of CHD. GGT to HDL-C ratio (GHR) has been shown to be associated with T2DM and non-alcoholic fatty liver disease. Therefore, we explore the relationship among GHR, CHD and its subgroups.

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Article Synopsis
  • * Results showed that patients achieving FCR experienced significantly lower rates of major adverse cardiovascular events (MACEs) compared to those with functional incomplete revascularization (FIR), both in the non-DM and DM groups.
  • * Multivariate analysis indicated that QFR-derived residual SYNTAX score (rSSQFR) is linked to increased MACEs risk, and incorporating it into clinical risk assessments improved the predictive capability for MACEs.*
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Prediction of Major Adverse Coronary Events Using the Coronary Risk Score in Women.

Radiol Cardiothorac Imaging

December 2024

From the Departments of Nuclear Cardiology (G.R.F., S.A.B.) and Cardiology (G.R.F., I.F.G.), Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Paseo Vall d'Hebron 119-129, Horta-Guinardó, 08035 Barcelona, Spain; Centro de Investigación Biomédica en Red: Enfermedades Cardiovaculares (CIBERCV), Madrid, Spain (G.R.F., S.A.B.); Grup d'Imatge Mèdica Molecular (GRIMM), Barcelona, Spain (G.R.F., S.A.B.); Department of Cardiology, Consorci Sanitari de l'Alt Penedès i Garraf (CSAPG), Barcelona, Spain (G.R.F.); and Centro de Investigación Biomédica en Red: Epidemiología y Salud Pública (CIBER-EP), Madrid, Spain (G.R.F., I.F.G.).

Article Synopsis
  • The study aimed to create a COronary Risk Score in WOmen (CORSWO) to predict major adverse coronary events (MACE) in females using data from 2226 women referred for myocardial perfusion imaging.
  • It identified key predictive factors such as age over 69, having diabetes, and specific results from stress tests and imaging, leading to the development of a risk stratification system.
  • The CORSWO model demonstrated strong predictive ability for MACE, enabling categorization into four risk levels, with high and very high-risk groups showing significant potential for accurately forecasting adverse events.
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Article Synopsis
  • - Environmental factors, particularly particulate matter (PM) and temperature (TM), play a significant role in triggering acute coronary syndrome (ACS), according to a large study involving 1.2 million patients in China from 2015-2020.
  • - The research found that each 10 μg/m increase in PM concentration raised the risk of ACS by 0.38%, with greater risks on colder days and a specific pattern of temperature effects suggesting an optimal range for health.
  • - The study indicated that combined exposures to PM and low TM account for nearly 10% of ACS cases, particularly affecting older patients and women, highlighting the importance of considering both factors together in understanding ACS risk.
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Monocyte to high-density lipoprotein cholesterol ratio predicts restenosis of drug-eluting stents in patients with unstable angina pectoris.

Sci Rep

December 2024

Department of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China.

Article Synopsis
  • - Several studies have hinted that the ratio of monocyte count to high-density lipoprotein cholesterol (MHR) can help predict in-stent restenosis (ISR) in patients with bare-metal stents; however, its effectiveness for drug-eluting stents (DES) is less clear.
  • - This study focused on 474 patients with unstable angina who received DES between 2014 and 2022, dividing them into ISR and non-ISR groups to assess the predictive value of MHR, which was found to be significantly higher in the ISR group.
  • - The results indicated that MHR could independently predict ISR with good sensitivity and specificity, and including MHR in predictive models improved their accuracy, suggesting it could be a
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Article Synopsis
  • - Regadenoson is a selective A2A adenosine receptor agonist used for heart stress testing, and this study evaluates its safety for myocardial perfusion scans.
  • - The study included 63 adult patients, primarily male with an average age of about 57, and looked at their health data and any adverse reactions after using Regadenoson during the testing process.
  • - Results showed minor blood pressure drops that stabilized after an hour, with few non-serious side effects like shortness of breath and headaches, but no major health complications arose.
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Article Synopsis
  • The P2Y12 receptor is crucial for platelet activation and has been a focus of research, particularly in the context of treating acute coronary syndromes (ACS) with dual therapy of aspirin and clopidogrel, as shown in the landmark CURE trial from 2001.
  • Advances in interventional cardiology, including drug-eluting stents and new P2Y12 inhibitors like ticagrelor and prasugrel, have significantly changed ACS treatment but challenges still exist, particularly with ST-elevation myocardial infarction (STEMI).
  • The review highlights the efficacy and safety of using P2Y12 receptor antagonists as a pretreatment strategy for STEMI, stressing the need for personalized treatment plans and the future
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Article Synopsis
  • The study aimed to assess the impact of Kuanxiong Aerosol (KXA) on coronary microcirculation in patients with unstable angina undergoing elective percutaneous coronary intervention (PCI).
  • Patients were divided into a trial group receiving KXA and a control group, with evaluations of coronary microcirculation resistance (IMR) and cardiac markers both before and after the procedure.
  • Results showed that the trial group had a significantly lower IMR after PCI, suggesting KXA may improve coronary microvascular dysfunction, although differences in myocardial injury rates were not statistically significant.
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Quantitative plaque characteristics and pericoronary fat attenuation index enhance risk prediction of unstable angina in nonobstructive lesions.

Clin Radiol

November 2024

Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. Electronic address:

Article Synopsis
  • This study investigates the use of artificial intelligence in quantifying plaque characteristics and measuring pericoronary fat attenuation index (FAI) to predict unstable angina in patients with nonobstructive coronary lesions.
  • It analyzed clinical data from 408 patients with angina, finding that those with nonobstructive lesions had a higher plaque length and FAI associated with unstable angina compared to stable angina.
  • Results indicate that specific measurements like left anterior descending peripheral FAI and total plaque length could serve as effective imaging biomarkers for predicting unstable angina in these patients.
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