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Stratification of coronary artery disease patients for revascularization procedure based on estimating adverse effects

Sebastian Pölsterl, Maneesh Singh, Amin Katouzian, Nassir Navab, Adnan Kastrati, Lance Ladic, Ali Kamen
2015 BMC Medical Informatics and Decision Making  
It is associated with a higher incidence of repeat revascularization procedures compared to coronary artery bypass grafting surgery.  ...  Conclusions: The results of this study demonstrated the efficacy of deployment of bare-metal stents and coronary artery bypass grafting surgery for subsets of patients.  ...  Bauer, Friedrich Fuchs, Alessandro Ortisi, and Jennifer Snyder for their critical review of the medical aspects of this work.  ... 
doi:10.1186/s12911-015-0131-0 pmid:25889930 pmcid:PMC4336731 fatcat:drhfip6lcrh3teziisbv4lfjzq

Long-term survival after vascular surgery: Specific influence of cardiac factors and implications for preoperative evaluation

Martin R. Back, Fabian Leo, David Cuthbertson, Brad L. Johnson, Murray L. ShamesMD, Dennis F. Bandyk
2004 Journal of Vascular Surgery  
A secondary goal was to define the potential long-term protective effect of previous coronary revascularization (coronary artery bypass grafting [CABG] or percutaneous coronary intervention [PCI]) in patients  ...  Objective: We sought to identify specific determinants of long-term cardiac events and survival in patients undergoing major arterial operations after preoperative cardiac risk stratification by American  ...  coronary artery disease (CAD) in patients with vascular disease and late death from cardiac causes.  ... 
doi:10.1016/j.jvs.2004.07.038 pmid:15472605 fatcat:bmyknlnpcnb7josrjap3nfrxge

Differential Event Rates and Independent Predictors of Long-Term Major Cardiovascular Events and Death in 5795 Patients With Unprotected Left Main Coronary Artery Disease Treated With Stents, Bypass Surgery, or Medication

Se Hun Kang, Jung-Min Ahn, Cheol Hyun Lee, Pil Hyung Lee, Soo-Jin Kang, Seung-Whan Lee, Young-Hak Kim, Cheol Whan Lee, Seong-Wook Park, Duk-Woo Park, Seung-Jung Park
2017 Circulation. Cardiovascular Interventions  
This study provides effect estimates for clinically relevant predictors of long-term clinical outcomes in real-world left main coronary artery patients, providing possible guidance for tailored preventive  ...  P atients with unprotected left main coronary artery (ULMCA) disease are considered at highest-risk of adverse cardiovascular events and mortality within the broad range of risk for patients with obstructive  ...  effect estimates for clinically relevant risk factors.  ... 
doi:10.1161/circinterventions.116.004988 pmid:28701487 fatcat:7e3bdkl2xjgpjkxuwgkbwxvmzi

Should Exercise Myocardial Perfusion Imaging Be the Standard Noninvasive Approach for the Initial Evaluation of Symptomatic Women With Suspected Coronary Artery Disease?

B. R. Chaitman, L. J. Reis
2011 Circulation  
procedures routinely used to diagnose coronary disease presence and to estimate prognosis.  ...  The estimated sample size calculation for major adverse cardiac events in this superiority-designed trial based on observational data reported in the older literature was 3.2% for SECG and 1% for MPI,  ... 
doi:10.1161/circulationaha.111.053553 pmid:21911793 fatcat:pv6f4lwwy5dg7mvmtwbqoq42wm

Beyond the SYNTAX Score

Davide Capodanno
2013 Circulation Journal  
with PCI, but also an effective aid in selecting the category of patients with lower burden of coronary artery disease whose outcomes with PCI could be similar, or even numerically superior, to CABG.  ...  ranging from 0 (perfect isk stratification of patients with unprotected left main coronary artery (ULMCA) disease has recently become a theme among experts in the field, fueled by the understanding that  ... 
doi:10.1253/circj.cj-12-1613 pmid:23546417 fatcat:uftrusohrbd6ljbiizxkhjxa2a

Impact of Ischemia-Guided Initial Diagnosis in Patients With Stable Angina

Nobuhiro Tahara
2012 Circulation Journal  
he initial diagnosis and assessment of coronary artery disease (CAD) are important in risk stratification for future cardiovascular events, subsequently leading to an appropriate treatment strategy.  ...  However, stable patients with suspected CAD tend to be taken directly to CAG for the consideration of coronary revascularization.  ... 
doi:10.1253/circj.cj-12-1299 pmid:23123603 fatcat:b7fiswew5rd6biknfgy2r7avmu

Should we use myocardial perfusion imaging for prognostic stratification in low-risk patients after exercise ECG?

D. Neglia, A. Gimelli
2012 European Heart Journal-Cardiovascular Imaging  
The clinical use of radioisotopes in the evaluation of patients with known or suspected ischaemic heart disease is largely based on non-invasive methodology suitable for visualizing myocardial perfusion  ...  The notion of the relevant prognostic impact of functional tests in patients with known or suspected coronary artery disease (CAD) is not novel. 1 Non-invasive parameters related with the functional state  ...  The clinical use of radioisotopes in the evaluation of patients with known or suspected ischaemic heart disease is largely based on non-invasive methodology suitable for visualizing myocardial perfusion  ... 
doi:10.1093/ehjci/jes178 pmid:22918405 fatcat:i7di2bd35bexpcfzpfy4spwfa4

Global Risk Score and Clinical SYNTAX Score as Predictors of Clinical Outcomes of Patients Undergoing Unprotected Left Main Percutaneous Catheter Intervention

Lucky Cuenza, Marianne P. Collado, James Ho Khe Sui
2017 Cardiology Research  
occurrence of major adverse cardiovascular events (MACEs), defined as a composite of all cause mortality, cardiac mortality, non-fatal myocardial infarction, stroke, coronary artery bypass, and target  ...  Methods: Clinical, angiographic and procedural characteristics of 92 patients who underwent unprotected left main PCI (mean age 62 ± 12.1 years) were analyzed.  ...  Acknowledgments The authors would like to thank the Philippine Heart Center Section of Invasive Cardiology for their support in providing clinical data for this study.  ... 
doi:10.14740/cr601w pmid:29317974 pmcid:PMC5755663 fatcat:qtrmm7ranzen5l2hrfjzwutzti

Preoperative assessment of cardiac risk and perioperative cardiac management in noncardiac surgery

Vivek Arora, Vic Velanovich, William Alarcon
2011 International Journal of Surgery  
In this review we briefly describe the current evidence on perioperative management of patients presenting for noncardiac surgery.  ...  A renewed emphasis on preoperative evaluation has helped to identify patients at an increased risk for adverse cardiac events and thus, implement noninvasive or invasive cardio protective strategies in  ...  Major adverse cardiac events (ACE's) were found to occur in 2% of relatively unselected patients (not limited to patients with a known risk for coronary artery disease) undergoing noncardiac surgery (NCS  ... 
doi:10.1016/j.ijsu.2010.09.010 pmid:20934543 fatcat:w7bpwf2dnvhxpar3fq6rrkxd4e

Preoperative cardiac management of the patient for non-cardiac surgery: an individualized and evidence-based approach

H.-J. Priebe
2011 British Journal of Anaesthesia  
Underlying cardiovascular disease significantly contributes to perioperative morbidity and mortality. 1 Depending on the type of surgery and patient age, the prevalence of various cardiovascular diseases  ...  appropriate medical (e.g. initiation, continuation, or optimization of cardiovascular medication) and interventional cardiovascular treatment strategies (e.g. preoperative coronary revascularization or  ...  (an estimated 5-30% of patients undergoing PCI have evidence of a peri-procedural myocardial infarction), 45 the indications for preoperative coronary artery revascularization should be handled very  ... 
doi:10.1093/bja/aer121 pmid:21610016 fatcat:uzmfyvg6vnadlis3jfefghbqvy

Contemporary Role of Cardiac Magnetic Resonance in the Management of Patients with Suspected or Known Coronary Artery Disease

George Bazoukis, Stamatis S. Papadatos, Archontoula Michelongona, Konstantinos Lampropoulos, Dimitrios Farmakis, Vassilis Vassiliou
2021 Medicina  
Cardiac magnetic resonance imaging (CMR) is a useful non-invasive radiation-free imaging modality for the management of patients with coronary artery disease (CAD).  ...  This review aims to summarize the data regarding the role of CMR in the contemporary management of patients with suspected or known coronary artery disease.  ...  Role of cardiac magnetic resonance in the management of patients with suspected or known coronary artery disease.  ... 
doi:10.3390/medicina57070649 fatcat:tzr6xktibbcqlbkdjwxo4q4vn4

Prediction of Coronary Risk by SYNTAX and Derived Scores

Mayank Yadav, Tullio Palmerini, Adriano Caixeta, Mahesh V. Madhavan, Elias Sanidas, Ajay J. Kirtane, Gregg W. Stone, Philippe Généreux
2013 Journal of the American College of Cardiology  
Syntax score is based on qualitative and quantitative characterization of coronary artery disease by including 11 angiographic variables that take into consideration lesion location and characteristics  ...  Thus far, this score has been shown to be an effective tool to risk-stratify patients with complex coronary artery disease undergoing percutaneous coronary intervention in the landmark SYNTAX trial, as  ...  The distributions of the coronary arteries are mapped based on the ARTS (Arterial Revascularization Therapies Study) investigators' modification of the American Heart Association classification of coronary  ... 
doi:10.1016/j.jacc.2013.06.047 pmid:23933535 fatcat:oocngg2lufdypf6tl6qa7aj6ju

Novel predictors of outcome after coronary angioplasty with rotational atherectomy. Not only low ejection fraction and clinical parameters matter

Piotr Kübler, Wojciech Zimoch, Michał Kosowski, Brunon Tomasiewicz, Oscar Rakotoarison, Artur Telichowski, Krzysztof Reczuch
2018 Advances in Interventional Cardiology  
in 1-year follow-up after the RA procedure and can help in risk stratification of patients undergoing complex coronary intervention with RA.  ...  and are not specific for either coronary and culprit lesion anatomy or the RA procedure.  ...  Acknowledgments The publication has been financially supported by the statutory grant from the Polish Ministry of Science and Higher Education No. ST.E.190. 16 .066.  ... 
doi:10.5114/aic.2018.74354 pmid:29743903 pmcid:PMC5939544 fatcat:sxk6x6uqlfgzlhjs36ldpbtroe

Ischemia-Guided Percutaneous Revascularization

Pablo Avanzas Fernandez
2015 Journal of Cardiology & Current Research  
The recently published ESC guidelines on the management of stable coronary artery disease endorse the use of FFR for risk stratification.  ...  Kim et al. [4] supported the benefit of ischemia-guided revascularization with myocardial perfusion imaging for patients with multivessel coronary artery disease.  ...  The recently published ESC guidelines on the management of stable coronary artery disease endorse the use of FFR for risk stratification.  ... 
doi:10.15406/jccr.2015.04.00136 fatcat:vnvitiyrurhlfeujtmvr6ivshm

Risk-Stratified Cardiovascular Screening Including Angiographic and Procedural Outcomes of Percutaneous Coronary Interventions in Renal Transplant Candidates

Julian König, Martin Möckel, Eda Mueller, Wolfgang Bocksch, Seema Baid-Agrawal, Nina Babel, Ralf Schindler, Petra Reinke, Peter Nickel
2014 Journal of Transplantation  
Benefits of cardiac screening in kidney transplant candidates (KTC) will be dependent on the availability of effective interventions.  ...  We retrospectively evaluated characteristics and outcome of percutaneous coronary interventions (PCI) in KTC selected for revascularization by a cardiac screening approach.Methods.  ...  Conflict of Interests The authors declare that there is no conflict of interests regarding the publication of this paper. Authors' Contribution  ... 
doi:10.1155/2014/854397 pmid:25045528 pmcid:PMC4089839 fatcat:hkhucqzamvcf3eubzbaftnnsdu
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