Acute coronary syndrome
356 results
101 - 200After 1 month of DAPT after PCI for acute coronary syndromes, ticagrelor monotherapy results in similar outcomes with less bleeding than ticagrelor plus aspirin
Early CT angiography for suspected acute coronary syndrome reduces further ischemic testing; no effect on long-term clinical outcomes
For treatment of acute coronary syndrome, prasugrel is better than ticagrelor at preventing recurrent MIs at 1 year
Platelet glycoprotein IIb/IIIa blockers during percutaneous coronary intervention and as the initial medical treatment of non-ST segment elevation acute coronary syndromes: Cochrane systematic review
PSK9 inhibitor alirocumab reduces nonfatal MI in patients after acute coronary syndrome, but at high cost (ODYSSEY OUTCOMES)
Drug‐eluting stents versus bare‐metal stents for acute coronary syndrome
Drug-eluting stents versus bare metal stents for angina or acute coronary syndromes: Cochrane systematic review
Chronic coronary syndrome (coronary heart disease)
Dabigatran associated with increased risk of coronary events
Additional testing of limited benefit in patients with new-onset chest pain
Coronary CT angiogram allows for safe discharge of low-risk patients with chest pain
Less bleeding with fondaparinux vs enoxaparin for ACS with PCI
FDA: Clopidogrel/aspirin does not decrease overall mortality
Faster discharge but more downstream testing with use of CCTA in ED
HET score: atypical chest pain + normal ECG + normal troponin = no acute coronary event
Intensive versus moderate statin therapy
Signs and symptoms not helpful in diagnosis of AMI/ACS
Bivalirudin = abciximab + heparin for non-STEMI
For atrial fibrillation with ACS or PCI, apixaban plus clopidogrel (without aspirin) is preferred (AUGUSTUS)
Ranolazine (Ranexa) not effective for ACS
Genotype-guided selection of oral P2Y12 inhibitor therapy no better than standard therapy after PCI for ACS or stable CAD
Intensive lipid lowering adds additional benefit
Invasive strategy best only for men and high-risk women with unstable angina/non-ST elevation MI
Clopidogrel + ASA no better than ASA alone for high-risk patients
Ruling out acute myocardial infarction based on patient characteristics
Pain severity does not predict outcomes with AMI
Intensive lipid lowering reduces mortality following ACS
Improved outcomes with early invasive strategy for ACS? Maybe, maybe not.
ED chest pain protocol is safe and efficient
ACC/AHA guidelines on dual antiplatelet therapy
Flu vaccine reduces risk of adverse CV events in high-risk patients
Low-dose rivaroxaban improves outcomes in patients with ACS (ATLAS)
Two-hour protocol identifies patients at low risk of ACS
Mortality rate in patients with recent ACS and endoscopy is similar to that in patients with ACS and no endoscopy
Apixaban increases bleeding with no benefit in high-risk patients with ACS
No reduction in postdischarge medication errors after pharmacist-led intervention
Concomitant use of clopidogrel and a PPI may increase risk of adverse CHD outcomes
Early invasive therapy better for non-ST ACS
CCTA reduces need for hospitalization in low to moderate risk patients in ED
Better medication adherence with intervention; clinical outcomes unchanged
Interpretation of adult ECG
Antithrombotic agents in primary health care
Routine stress testing after negative biomarker testing seldom helpful
Early initiation of statins following ACS does not improve outcomes
ACS risk similar with normal ECG performed during presence or absence of chest pain
Evacetrapib increases HDL but does nothing for patient-oriented outcomes
In ACS, 5 yrs of invasive tx decreases MI but not all cause mortality (FRISC-II)
In low-risk patients with ACS, noninvasive testing adds little to clinical evaluation
Clopidogrel plus aspirin versus aspirin alone for preventing cardiovascular events
Low HS-troponin I accurate in identifying patients at low risk of cardiac events
Dyspepsia
Exercise stress test
ACC/AHA guideline for the management of patients with chronic coronary disease
Platelet-function testing doesn't improve outcomes in elderly patients with stents after ACS
Early angiography not crucial in low risk NSTEMI patients (TIMACS)
Adding ezetimibe to moderate-dose statin reduces nonfatal MI only (NNT = 58 for 6 years)
Intravenous immunoglobulin for the treatment of Kawasaki disease
Accelerated protocol identifies chest pain patients at low risk for major cardiac events