Effect of Prior Stroke on the Use of Evidence-Based Therapies and In-Hospital Outcomes in Patients With Myocardial Infarction (from the NCDR ACTION GWTG Registry)

Dec 22, 2016 by in CARDIOLOGY Comments Off on Effect of Prior Stroke on the Use of Evidence-Based Therapies and In-Hospital Outcomes in Patients With Myocardial Infarction (from the NCDR ACTION GWTG Registry)

Patients with previous stroke are at high-risk for myocardial infarction (MI). Concern regarding increased risk of bleeding or recurrent stroke in this patient population might alter therapeutic decisions. Data were…

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Prehospital Troponin T Testing in the Diagnosis and Triage of Patients With Suspected Acute Myocardial Infarction

Dec 22, 2016 by in CARDIOLOGY Comments Off on Prehospital Troponin T Testing in the Diagnosis and Triage of Patients With Suspected Acute Myocardial Infarction

Prehospital electrocardiographic (ECG) diagnosis has improved triage and outcome in patients with acute ST-elevation myocardial infarction. However, many patients with acute myocardial infarction (AMI) present with equivocal ECG patterns making…

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Frequency and Healing of Nonculprit Coronary Artery Plaque Disruptions in Patients With Acute Myocardial Infarction

Dec 22, 2016 by in CARDIOLOGY Comments Off on Frequency and Healing of Nonculprit Coronary Artery Plaque Disruptions in Patients With Acute Myocardial Infarction

The pathophysiology of plaque disruption and healing in nonculprit segments has not been clarified. Therefore, we investigated the frequency of plaque disruptions in nonculprit segments and whether those plaques are…

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Clustering of Metabolic Abnormalities Among Obese Patients and Mortality After Percutaneous Coronary Intervention

Dec 22, 2016 by in CARDIOLOGY Comments Off on Clustering of Metabolic Abnormalities Among Obese Patients and Mortality After Percutaneous Coronary Intervention

Although current literature demonstrates metabolic abnormalities are associated with mortality, obese patients who tend to have more metabolic abnormalities paradoxically have lower overall mortality rates compared to their normal-weight counterparts….

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Effect of Emergency Department In-Hospital Tele-Electrocardiographic Triage and Interventional Cardiologist Activation of the Infarct Team on Door-to-Balloon Times in ST-Segment-Elevation Acute Myocardial Infarction

Dec 22, 2016 by in CARDIOLOGY Comments Off on Effect of Emergency Department In-Hospital Tele-Electrocardiographic Triage and Interventional Cardiologist Activation of the Infarct Team on Door-to-Balloon Times in ST-Segment-Elevation Acute Myocardial Infarction

Current guidelines recommend that >75% of patients with ST-elevation myocardial infarction (STEMI) receive primary percutaneous coronary intervention (PPCI) within 90 minutes. The goal has been hardly achievable, so we conducted…

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Changes Over Six Years in Administration of Aspirin and Beta Blockers on Arrival and Timely Reperfusion and in In-Hospital and 30-Day Postadmission Mortality in Patients With Acute Myocardial Infarction

Dec 22, 2016 by in CARDIOLOGY Comments Off on Changes Over Six Years in Administration of Aspirin and Beta Blockers on Arrival and Timely Reperfusion and in In-Hospital and 30-Day Postadmission Mortality in Patients With Acute Myocardial Infarction

There is conflicting evidence regarding the impact of improving quality-of-care measures on patient outcomes. From July 2002 through June 2008, compliance with 3 in-hospital acute myocardial infarction quality-of-care measures (administration…

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