Stress Echo Is Losing Its Prognostic Value in Asymptomatic Aortic Stenosis

Neither increase in mean pressure gradient (MPG) nor systolic pulmonary artery pressure (SPAP) at peak exercise predicts outcomes in patients with asymptomatic aortic stenosis (AS) according to a study published in JACC Cardiovascular Imaging.

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CTA Verified High Risk Coronary Plaque Predicts ACS ICONIC TRIAL

Coronary computed tomography angiography (CTA)-guided vulnerable plaque characteristics have predictive value for future acute coronary syndrome (ACS) in high-risk patients according to Incident COronary EveNts Identified by Computed Tomography (ICONIC) trial which is published in the  Journal of  the American College of Cardiology.

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Cardiac MRI Improves Long-Term Risk Stratification After STEMI

Cardiac magnetic resonance (CMR) imaging provides useful prognostic information in revascularized ST-segment elevation (STEMI) patients, according to a recent study published in June 2018, in the Journal of the American College of Cardiology.

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Prior Silent MI Is Associated with Worse Outcomes in Patients with AMI

A recent observational longitudinal study published in the Journal of American College of Cardiology showed that previous silent myocardial infarction (MI) was found in 8.2% of patients presenting with first acute myocardial infarction (AMI). Previous silent MI was detected by late gadolinium enhancement- cardiac magnetic resonance (LGE-CMR). Continue reading

High Sensitivity Troponin I and Stable Coronary Artery Disease

A recent study published in the Journal of American College of Cardiology found an association between elevated concentrations of high sensitivity troponin I (hsTnI) with increasing prevalence of coronary artery disease (CAD) in stable patients, who were suspected of coronary artery disease and underwent non-emergent coronary computed tomography angiography (CTA).

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2018 Imaging for Plaque Characterization

Sean Madden, Jason Bottiglieri and Dr. Jeff Popma Discuss:

2018 Imaging for Plaque Characterization Sean Madden, Jason Bottiglieri and Dr. Jeff Popma Discuss:

Should Patients with Acute Chest Pain Undergo Noninvasive Testing After the Clinical Diagnosis is Made?

The use of noninvasive cardiac tests such as coronary computed tomographic angiography (CCTA) or stress testing for patients presenting to the emergency department with chest pain is not associated with a better clinical outcome when compared to the conventional method for diagnosing acute coronary syndrome, according to a recent study published in the Journal of American Medical Association. Continue reading

Is Sodium Bicarbonate or N-Acetyl-Cysteine Effective in Preventing Contrast-Induced Nephropathy?

In a recent study published in the New England Journal of Medicine, it was found that amongst patients undergoing angiography, sodium bicarbonate is not better than sodium chloride  and neither is acetylcysteine better than oral placebo in the prevention of a composite outcome of death, need for dialysis, or persistent kidney injury. The treatment was also ineffective in reducing the risk of contrast-associated acute kidney injury.

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Incorporating Non-Invasive Fractional Flow Reserve into Clinical Practice Dr. Jeffrey Popma and Dr. Campbell Rogers Discuss

Incorporating Non-Invasive Fractional Flow Reserve into Clinical Practice

Dr. Jeffrey Popma and Dr. Campbell Rogers Discuss

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Can CTCA-derived Plaque Characteristics Predict MACE?

A systematic review and meta-analysis recently published in the journal, Circulation, showed a strong association between computed tomographic coronary angiography (CTCA) defined high risk plaque (HRP) features and major adverse cardiovascular events (MACE) in patients with suspected coronary artery disease (CAD). Continue reading

Instantaneous wave-free ratio vs fractional flow reserve guided Intervention Dr. Matthias Götberg and Dr. Serge Korjian Discuss: IFR-SWEDEHEART

iFR and FFR decision-making for physiological guided coronary revascularization Dr. Justin E. Davies and Dr. Serge Korjian Discuss: DEFINE-FLAIR

Novel Echo Markers In Stroke Risk Stratification In AFib

The assessment of left atrial reservoir strain and P-wave to A’ duration on tissue Doppler imaging provides additional risk stratification for stroke after initial CHA2DS2-VASc scoring, according to a study published in the European Heart Journal, and may prove helpful in guiding decisions about anticoagulation for patients after the diagnosis of atrial fibrillation. Continue reading

MRI Safe in Patients with Legacy Cardiac Devices

The use of MRI resulted in no long-term clinically significant adverse events in patients with legacy cardiac devices and only 1 in 200 patients experienced a power-on reset of the cardiac device, according to a recent publication in the New England Journal of Medicine. Continue reading

FFR Guided Acute Complete Revascularization VS Culprit Lesion Only Treatment in STEMI

Dr. Pieter Smits and Dr. C. Michael Gibson Discuss

Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve Guided Intervention

Dr. Matthias Götberg and Dr. Serge Korjian Discuss

Outcomes of iFR and FFR Decision-Making for Physiological Guided Coronary Revascularization

Dr. Justin E. Davies and Dr. Serge Korjian Discuss