The treatment of coronary lesions caused by blunt chest trauma is controversial. To our knowledge, this is the first report of a coronary dissection related to blunt chest trauma evaluated with OCT ...and treated with a magnesium resorbable scaffold.
Purpose of Review
Heart failure (HF) entails poor prognosis, with high morbidity and mortality burden, particularly in elderly patients. Notably, important sex differences have been described between ...men and women with HF. In this regard, some biological and sociocultural aspects related to sex may play a key role in the different development and prognosis of HF in elderly men and women.
Recent Findings
Important differences between men and women with HF, especially in the elderly population, have been specifically addressed in recent studies. Consequently, specific differences in biological and sociocultural aspects have been found to associate differences in pathophysiology, baseline clinical profile, and prognosis according to sex. Moreover, differences in comorbidities and frailty and other geriatric conditions, frequent in elderly population with HF, have also been described.
Summary
Biological and sociocultural differences related to sex are key in the different clinical presentation and prognosis of heart failure in elderly women. Further studies will be required to better understand some other underlying reasons that may differently impact prognosis in elderly patients with HF.
...generation DES was implanted in 89.6% and complication rate of procedure was 2.4%. MACE rate was significantly higher in patients with chronic kidney disease, ventricular dysfunction and when ...final “kissing balloon” was not performed.
Percutaneous coronary intervention (PCI) in ST-segment elevation (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) due to LMCA disease were not been sufficiently studied. Conclusion ...Patients treated with PCI in ACS concomitant with LMCA disease presents higher in-hospital mortality.
Background Drug eluting stents (DES) have improve the results of percutaneous coronary intervention (PCI) in terms of safety and effectiveness in left main coronary artery (LMCA) disease. Conclusion ...PCI treatment with ZES in LMCA disease is safe and effective with a low rate of immediate complications and a low rate of mayor cardiac events at very long-term follow-up.
Results 293 patients (70.1% male; 67.2 ± 12.5 years) with acute coronary syndrome (ACS) were analyzed, of which left anterior descending (LAD), left circumflex (Cx) and right coronary artery (RCA) ...were occluded in 12.5%, 5.5% and 17.2% respectively. 73% of cases with left circumflex occlusion presented as ST Segment Elevation Myocardial Infarction (STEMI) and 26% were initially diagnosed as Non-ST Segment Elevation Myocardial Infarction (NSTEMI). Cx occlusions were initially diagnosed as NSTEMI in 26% of cases and these patients presented higher levels of CPK, longer delay from symptoms onset to arrival at the emergency department and a higher rate of non-sustained ventricular tachycardia.
The main objective of this study was to evaluate the efficacy and safety of percutaneous coronary interventions (PCI) in LMCA disease at 10-year follow-up in the elderly. Conclusion In elderly ...patients with high surgical risk, left main PCI provide very favourable results with a low rate of immediate complications in the procedure and low rate of cardiac adverse events at a very long-term follow-up.
Background Diabetic patients have more aggressive and severe coronary artery disease with higher in-stent restenosis rates after percutaneous coronary intervention (PCI). MACE rate was significantly ...higher in patients with left ventricular systolic dysfunction (p=0.04), kidney insufficiency (p=0.02) and patients treated with first generation drug eluting stents (p=0.01).
The MACE rate was significantly higher in patients with moderate-severe left ventricular systolic dysfunction (p=0.007) and patients with Killip class 3-4 at presentation (p=0.004). Conclusion In ...spite of high angiographic success rate without complications at the procedure, primary PCI in LMCA disease presents high in-hospital mortality.
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