Acute Coronary Syndromes

Acute coronary syndrome (ACS) is most commonly caused by a heart attack (myocardial infarction) where blood flow to the heart is suddenly blocked. This is usually caused by a blood clot from a ruptured coronary artery atherosclerotic plaque. Other causes include spontaneous coronary artery dissection (SCAD), which most commonly occurs in women. ACS is usually treated in a cath lab with angioplasty and the placement of a stent to prop the vessel open.

9/11 cleanup workers who experienced PTSD at high risk of stroke, MI

Blue-collar workers who cleaned up debris in the aftermath of the World Trade Center attacks on September 11, 2001, experienced post-traumatic stress disorder (PTSD) at double the rate of the general population, according to a study in Circulation: Cardiovascular Quality and Outcomes.

July 10, 2018
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Severe heart attacks in UK deadlier in winter

Patients were about 40 percent less likely to survive the most severe heart attacks in the six coldest months of the year, according to research presented in June at the British Cardiovascular Society Conference.

July 10, 2018

Study: 65% of older MI patients die within 8 years

About two-thirds of patients older than 65 who experience a myocardial infarction die within eight years, according to a new study—and nearly half die in that timeframe even if they receive percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery.

July 9, 2018

Norepinephrine tops epinephrine for treating cardiogenic shock

Norepinephrine seemed to be a safer vasopressor than epinephrine for patients with cardiogenic shock following acute myocardial infarction, according to a small randomized trial conducted in France. Significantly more patients given epinephrine developed refractory cardiogenic shock, causing the study to be stopped early.

July 6, 2018

Nonobstructive MI disproportionately affects young women

Learning a heart attack patient has nonobstructive coronary arteries shouldn’t necessarily be met with relief, according to a multicenter study published in the Journal of the American Heart Association.

July 5, 2018
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Are physicians obligated to provide medical assistance on planes?

In an interview with JAMA, emergency medicine physician Rachel Zang, MD, discussed doctors responding to in-flight medical emergencies, potential legal liabilities and the standard equipment that airlines stock to handle such incidents.

July 2, 2018

High levels of fitness in depressive patients can lower risk CVD mortality

Individuals who maintain a high level of fitness in midlife are at a decreased risk of depression—and those who stay in shape while diagnosed with depression exhibit a 56 percent lower risk of cardiovascular disease (CVD), according to new research published on June 27 in JAMA Psychiatry.

June 30, 2018

DOACs trump warfarin for heart attack prevention in AFib patients

Compared to warfarin, the direct oral anticoagulants (DOACs) apixaban, rivaroxaban and dabigatran are all associated with a reduced risk of myocardial infarction, according to a Danish registry study of consecutive patients with nonvalvular atrial fibrillation (AFib).

June 28, 2018

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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