Search for: "acute coronary syndrome" - 62 articles found

News • Chronotype, duration, apnea and more

How sleep impacts cardiovascular health

A new study shows five aspects of sleep that are almost equally important to explain the association between sleep and the risk of coronary events and stroke.

News • DSCT benefits

Coronary CTA for acute chest pain emergencies: Single- vs. dual-source scanners

According to an accepted manuscript published in the American Journal of Roentgenology (AJR), using a dual-source CT (DSCT) scanner for coronary CTA can facilitate clinical processes by eliminating the need to administer beta-blockers for heart rate control while decreasing nondiagnostic examinations.

Hip arthroplasty for femoral neck fractures – but without the complications

Arthroplasty for femoral neck fractures has seen enormous progress in recent years, but complications due to infections are still a major problem. With good preparation and the right technique, however, orthopaedic surgeons can take away much of the horror of this scenario.

News • Deep learning analysis of X-rays

AI used to triage patients with chest pain

Artificial intelligence (AI) may help improve care for patients who show up at the hospital with acute chest pain, according to a new study published in Radiology.

TAVI: from short-term effects to lifetime management

Until recently, TAVI, the minimally invasive procedure in which a replacement valve is inserted inside a diseased valve has been mostly prescribed for patients too weak to face open heart surgery – largely involving those in the 80-plus age group. Today, due to greater longevity plus advancing skills that result in risks reduction, TAVI is increasingly prescribed for patients in their 70s and…

News • Lasting impact

COVID-19 survivors have increased risk of death

A major study from the Washington University School of Medicine details numerous long-term effects of COVID-19, pointing to massive health burden.

News • Gender bias in cardiovascular health

Heart attack: chest pain misdiagnosed more often in women

Chest pain is misdiagnosed in women more frequently than in men, according to research presented at ESC Acute CardioVascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC). The study also found that women with chest pain were more likely than men to wait over 12 hours before seeking medical help. “Our findings suggest a gender gap in the first evaluation of…

Article • Covid-19 collaterals

Coronavirus impacts heart surgery across Europe

Cardiac surgery across Europe is being set back as a result of the ongoing coronavirus. Operations are being postponed, treatment delayed, and critical care staff have been redeployed to cope with the impact of the Covid-19 epidemic on health services. However, gaining a clear picture of the Europe-wide situation, and the long-term effects coronavirus will have on heart surgery, is a challenge…

Triage aided by a quick sensitive test

Large proportions of patients can be safely triaged either to rule out discharge or rule in lifesaving management – if following the European Society of Cardiology (ESC) Guidelines Class I recommendation of two serial measurements of hs-cTnI on admission and after one hour, if there are assay specific cut off values for the 0/1 algorithms. The Pathfast hs-cTNI assay is an approved system to…

Article • RiskCardio

Using machine learning to estimate risk of cardiovascular death

Humans are inherently risk-averse: We spend our days calculating routes and routines, taking precautionary measures to avoid disease, danger, and despair. Still, our measures for controlling the inner workings of our biology can be a little more unruly. With that in mind, a team from MIT’s Computer Science and Artificial Intelligence Laboratory (CSAIL) came up with a new system for better…

Article • Risk stratification

Cardio-controversy: Added value through CAD imaging?

ESC Congress, Paris: Two key strands in the ‘Controversies in imaging coronary artery disease’ session at the congress will examine the pros and cons of imaging use for coronary artery disease risk stratification in asymptomatic patients; the second strand will focus on whether CT angiography should be the first choice for imaging coronary artery disease in patients with stable chest pain.…

Article • Highlights from the 30th TCT Meeting

Advancing transcatheter cardiovascular therapies

A remarkable number of studies and innovations were presented at the 30th anniversary of Transcatheter Cardiovascular Therapeutics (TCT) meeting in San Diego, California. TCT 2019 will take place in San Francisco, CA between 25-29-Sep-2019. On the clinical side, the long-expected results from COAPT trial studying MitraClip device in patients with secondary mitral regurgitation and heart failure…

Article • ESC consensus statement

Intracoronary imaging advances

Interventional cardiologists have been aware of the value of intracoronary (IC) imaging in clinical practice for more than twenty years. However, recent developments and improvements in modalities and software have enabled huge strides in its range and scope for both diagnostic assessment and in percutaneous coronary interventions. Imaging options now include intravascular ultrasound (IVUS),…

Article • Cardiovascular care

Manipulating atoms and molecules with nanomedicine

Nanomedicine is set to play an increasingly important role in the future diagnosis and treatment of cardiovascular disease. Understanding the importance of nanomedicine was enhanced by four experts who spoke at the British Cardiovascular Society conference held in June. The technology – dealing with dimensions and tolerances of less than 100 nanometres and especially the manipulation of…

Article • Heard at the British Cardiovascular Society conference

The role of nanomedicine in CV diagnosis

Nanomedicine will play an increasingly important role in future diagnosis and treatment of cardiovascular disease, a subject explored in detail by four expert speakers at the British Cardiovascular Society conference in Manchester in June. The conference heard that the technology – dealing with dimensions and tolerances of less than 100 nanometres, especially the manipulation of individual…

News • Acute Coronary Syndrome

Access hsTnI assay rules out ACS in 2 hours

The clinical performance of Beckman Coulter's high-sensitivity troponin I (hsTnI) assay Access hsTnI has been validated in a study. Within 2 hours, the assay delivers an accurate assessment of patients with suspected acute coronary syndrome (ACS).

News • Study results

Triggers of acute heart failure vary globally

Triggers of acute heart failure vary globally, according to late breaking results from the REPORT-HF registry presented at Heart Failure 2018 and the World Congress on Acute Heart Failure, a European Society of Cardiology congress. REPORT-HF is a global, prospective registry comparing regional differences in causes of acute heart failure, therapies, time to treatment, and outcomes. Professor Sean…

News • Health economics

Atrial fibrillation imposes a high burden in Europe

The first health economics data from the Global Anticoagulant Registry in the Field – Atrial Fibrillation (GARFIELD-AF) was presented at ESC Congress 2017, organised by the European Society of Cardiology, in Barcelona, Spain.

Article • Preview

Prediction and Prevention theme for cardiovascular conference

Topics of big data, the genetic basis of coronary artery disease and sudden cardiac death in the young are among key subjects for British cardiologists at their 2016 annual conference. With a central theme of “Prediction and Prevention”, the 2016 British Cardiovascular Society annual conference takes place in Manchester from June 6-8 and features innovative and interactive presentations,…

Automated H-FABP assay improves the efficiency of Troponin

Automated latex enhanced immunoturbidimetric H-FABP assay helps emergency departments to detect MI within 30 minutes of chest pain onset, and improve the diagnostic efficiency of Troponin.

Article • Lab2Go

POC test detects myocardial infarction

Philips Minicare delivers rule-in/rule-out readings for heart attacks in 10 minutes. It takes a lot of hard work to make things easy. Biomedical experts at Royal Philips have spent more than 10 years developing a simple test for the emergency department that, in less than 10 minutes, may indicate whether a patient suffering chest pains is having a heart attack.

Article • Strategy

Spain: Chest pain units

Imaging modality complements a stress test in diagnosing the aetiology of chest pain, according to an expert speaking at the International Conference on Nuclear Cardiology and Cardiac CT (ICNC) held this May in Madrid.

Article • Trends

Dose reduction strategies in cardiac CT

World-renowned cardiologists reviewed the latest trends and dose reduction strategies in cardiac CT during the International Conference on Nuclear Cardiology and Cardiac CT (ICNC) that unfolded in Madrid in May.

Article • POCT

Evolutionary POCT

A growing number of clinical tests are being delivered in community hospitals with more patients receiving quicker, accurate diagnoses closer to home, without stays in acute hospital beds. Professor Daniel Lasserson, an Associate Professor in the Nuffield Department of Primary Care Health Sciences at Oxford University, shares the opinion that using point-of-caretesting (POCT) to facilitate high…

Article • Cardiology I

Chest pain units in Germany

The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…

Article • Cardiology II

Rapid Access Chest Pain Clinics

Many NHS hospitals in the United Kingdom have established Rapid Access Chest Pain Clinics (RACPC) to work in tandem with them in offering primary percutaneous coronary intervention (PPCI) – the gold standard treatment for heart attacks – 24 hours a day. Report: Mark Nicholls

Shocked by the Shock trials?

No need to ask who was really shocked by the Halle Shock trial, followed by the multi-centre Shock II trial.

When cardiac catherisation delivers no result...

The significant benefits of cardiac catherisation remain undisputed. However, cross-sectional imaging modalities are serious competitors when it comes to arriving at the right diagnosis.

Hardly unnecessary blood tests

Researchers at Johns Hopkins Bayview Medical Center used two relatively simple tactics to significantly reduce the number of unnecessary blood tests to assess symptoms of heart attack and chest pain and to achieve a large decrease in patient charges.

Contraindications removed

Ultrasound Contrast Agent SonoVue usable in case of recent acute coronary syndrome or clinically unstable ischaemic cardiac disease.

Don´t worry, be healthy

People with cheerful temperaments are significantly less likely to suffer a coronary event such as a heart attack or sudden cardiac death, new Johns Hopkins research suggests.

Marriage reduces the risk of heart attack

A large population-based study from Finland has shown that being unmarried increases the risk of fatal and non-fatal heart attack in both men and women whatever their age.

Emergency healthcare in Spain

People prefer to seek medical help in public rather than private hospital

Toshiba presents advances in Cardiac Imaging at ESC 2012

Cardiology is playing an increasingly important role in today’s healthcare environment and, as a direct result, cardiologists are facing new challenges almost every day. Addressing the need of improving clinician confidence and diagnostic accuracy, Toshiba Medical Systems Europe presented two symposia on the first day of the European Congress of Cardiology, to be held in Munich, Germany, 25-28…

Strategies for radiation dose reduction in vascular CT

Radiation dose reduction in CT angiography can be achieved by reducing the kV settings, reducing the tube voltage, the tube current and by using iterative reconstruction algorithms.

A conceptual shift for medical device manufacturers

Much has changed for medical device manufacturers. Take scanner development; whereas the aim has long been to increase multi-slices, produce higher field strengths and sharper images, optimise the ergonomics and then launch the new product at a specific group of customers, in recent years this approach became insufficient.

Organisation and technology as factors of success in A&E

Point of care technologies (POCT) have an important, quality enhancing, risk-reducing and cost-impacting role within the extremely time-critical medical decision structures of a central Accident and Emergency department, says Professor Wilfried von Eiff, Centre for Hospital Management, University of Muenster, Germany.

Cardiac Disease: Coronary or not?

Acute myocardial Infarction (AMI) is a major cause of death and disability. Worldwide, one in eight patients die of an ischemic heart disease. Its rapid and accurate diagnosis is critical for the initiation of effective evidence based medical management, including early revascularization, but is still an unmet clinical need. The gradual implementation of high-sensitive cardiac troponins (hs-cTnT)…

The PRODIGY study

However, the PROlonging Dual antiplatelet treatment after Grading stent-induced Intimal hyperplasia studY (PRODIGY) also found a consistently greater risk of haemorrhage in the 24-month dual therapy group according to all prespecified bleeding definitions, including the recently proposed Bleeding Academic Research Consortium classification. The need for transfusion was also increased in the…

Solutions for Sustainable Cardiovascular Care

Siemens Healthcare presented solutions for sustainable cardiovascular care at the European Society of Cardiology (ESC) congress in Paris, France, under the motto "Are you ready for the long run?". This includes all modern imaging technologies, in-vitro diagnostics, IT solutions and consulting services.

Investigating treatment options for atrial fibrillation

The first patient has been enrolled for the largest pan-European study to determine whether an early comprehensive rhythm control strategy for the treatment of atrial fibrillation (AF) will benefit patients. Patients with recent-onset AF at risk for stroke or death are eligible for the trial. The researchers plan to enrol more than 3,000 patients from 200 centres in 11 European countries.

“Act on Stroke“: Siemens presents a new consulting concept for optimized stroke care

The Siemens sector Healthcare has developed the new consulting model “Act on Stroke”, tailored specifically to clinical workflows in the treatment of stroke. Following models for industry processes, an expert team from Siemens evaluates the maturity level of clinical processes in a hospital.

A rapid NT-proBNP cardiac biomarker test to manage HF

Used in conjunction with clinical assessment, the new Triage NT-proBNP (N-terminal pro b-type natriuretic peptide) test is a useful biomarker in the diagnosis and management of patients with heart failure (HF) its manufacturer Alere International reports.

Biomarkers - Keys to prevention and early detection

Biomarkers as the key to prevention and early detection were the subject this autumn at the 7th Annual Congress of the German Society for Clinical Chemistry and Laboratory Medicine (DGKL) in Mannheim. For the DGKL president Professor Karl J Lackner MD, Director of the Institute for Clinical Chemistry and Laboratory Medicine at Johannes Gutenberg University, Mainz, the topic is of increasing…

Fighting acute coronary syndrome

Today in most countries of the world almost 50 % of patients in hospital for a cardiac condition began their treatment as emergency cases: chest pain at home . . . a cardiac arrest in the street. Thus, according to Dr Peter Clemmensen, of the 22 million hospital admissions in Europe each year for acute cardiac events, more than 10 million of them would have begun as an emergency and without…

New perspectives in coronary plaque imaging using dual source CT

Ongoing technical developments in computed tomography (CT) such as dual source CT have established coronary CT angiography (cCTA) as a robust non-invasive imaging test for the assessment of coronary artery disease. The most important advantage of cCTA over conventional catheter-based coronary angiography is that not only the coronary lumen but also the entire coronary artery wall is visualized…

Cardiac Biomarkers

When in 1992 Dr Luigi Marzio Biasucci, head of the Sub-intensive Care Unit at the Catholic University of the Sacred Heart in Rome, Italy, published with his team the first paper on C-reactive protein (CRP) in unstable angina, few people believed in the diagnostic power of biochemical features to measure the effects or progress of disease, illness, or a condition. Today, biomarker tests are part…

Smoking bans have lowered AMI rates

Strongly enforced legislation to restrict smoking produces rapid and substantial reductions in community rates of heart attack, according to a meta-analysis published in Circulation, the journal of the American Heart Association.

The role of exercise training in cardiovascular health

Western societies are struggling to pay for their ever increasing medical budgets. In the US up to 393 billion US-$ were spent in 2005 for cardiovascular diseases alone. Based on epidemiologic studies in primary prevention it is reasonable to estimate that 30% of coronary heart disease and stroke could be prevented by 2.5 hours of brisk walking per week.

"Any cath lab that is not open 24/7 should be closed"

Surviving a heart attack depends upon where you live in Europe. For cardiologists that is unacceptable. A majority of European countries can deliver life-saving primary percutaneous coronary interventions (P-PCI), yet too often these centres are closed over weekends or after working hours - when 50% of all myocardial infarctions occur.

Cardiovascular research

As Professor Valentin Fuster pointed out this year, the Centro Nacional de Investigaciones Cardiovasculares (CNIC) is now a splendid reality thanks to the support of the Ministerio de Ciencia y Tecnología and the Instituto de Salud Carlos III institutions on which, now and for the future, it depends. Along with that public sector backing, CNIC will also receive civil support from the ProCNIC…

Telemonitoring changes working practice of cardiac nurses

The 9th Annual Spring Meeting of the European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions (CCNAP), organised in cooperation with the Irish Nurses Cardiovascular Association (INCA), is being held at the Royal Dublin Society, Dublin, Ireland, on 24-25 April.

Xarelto gains EU approval

The European Commission has granted marketing approval to the Bayer Group for Xarelto (rivaroxaban), an anticoagulant taken as one tablet, once-daily, to prevent venous thrombo-embolic events (VTE) in adults undergoing elective (planned) hip or knee replacement surgery.

Spotlight Cholesterol: the role of diet, statins and genetics

The inverse epidemiological association between serum levels of HDL-C and risk of coronary artery disease (CAD) is graded and has been validated in multiple studies. However, there is remaining controversy whether a low HDL-C should not predominantly be considered a marker of poor lifestyle (obesity, lack of exercise, hypertriglyceridemia, diet, etc.), rather than a primary causal agent for…

New biomarkers in acute cardiac care

Professor C Mueller adressed the issue of new biomarkers in acute cardiac care on the ESC on Monday, 1st September. Read his comment in the following.

Why European laboratorians benefit from the AACC Annual Meeting

When asked to write a brief note on why I found it important to attend the AACC Annual Meeting, particularly from the European perspective, my mind returned to the first time I attended an AACC meeting.

Further reports from the ACC 57th Scientific Session

A five-year study of 516 participants with coronary artery disease showed that patients who reduced their anxiety levels or kept them steady were 60% less likely to have a heart attack or die compared with those who had increased anxiety levels.

Computed tomography versus magnetic resonance imaging of the heart

Competitive or complementary? By Florian Schwarz BS, Balazs Ruzsics MD PhD and U. Joseph Schoepf MD, of the Radiology and Medicine Departments, at the Medical University of South Carolina, Charleston, USA.

Ludwig-Maximillians-University Munich installs GE Healthcares' 64-multislice LightSpeed VCT

The department of Radiology at the LMU Munich optimizes the care of patients with LightSpeed VCT, a 64-multislice CT from GE Healthcare. The high-tech CT is perfectly suited for patients suffering from multiple trauma, who highly benefit from fast and significant CT-diagnostic.

Acupuncture What others say

During the last ten years or so, there has been a convergence of modern international science with traditional Chinese medicine, with research carried out in physiology, biochemistry and pharmacology.

The digital cath lab imaging system with fully-integrated IVUS

GE Healthcare and Volcano Corporation have combined GE's Innova digital X-ray cath lab system with Volcano's new PC-based IVUS platform.

The ESC Congress

25,000 visitors and medical professionals from 47 National Cardiac Societies across central and greater Europe, will attend the 2004 ESC Congress, where 'Diabetes and heart disease' will be the main theme. Lars Ryden, ESC Past-President, team member for the Euro-Heart Survey on Diabetes, and Chairman of the 'Guidelines for Diabetes & the Heart', and William Wijns, co-chair and Chairman of the…