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.

Public education of CPR, defibrillation improves survival rates for out-of-hospital cardiac arrests

Increasing educational public health initiatives across 16 North Carolina counties resulted in improved response to out-of-hospital cardiac arrest (OHCA) and better rates of survival, a study published in JAMA Cardiology reports.

October 5, 2017

Researchers quantify STEMI patients’ bleeding, ischemic risks over time

ST-segment elevation MI (STEMI) patients are at their greatest risk for ischemic and bleeding events shortly after PCI, with both risks dropping significantly over time. However, ischemic events are more common between 30 days and one year, supporting the extended use of intensified antiplatelet therapy, according to a new study in the Journal of the American College of Cardiology.

October 5, 2017

1 in 4 heart attack sufferers leave work within a year

According to a Danish study, 24 percent of people who return to work after a heart attack leave their job within a year.

October 4, 2017

Low vitamin K intake in teens linked to early signs of left ventricular hypertrophy

Kids who push aside leafy greens might be lacking vitamin K and could be at increased risk for heart problems later in life, according to new research from Augusta University.

October 2, 2017

Cardiologists, moms agree: Breakfast the most important meal of the day

When compared to people who consumed more than 20 percent of their daily energy at breakfast, habitual breakfast skippers were at a 1.55-fold increased risk of noncoronary atherosclerosis and a 2.57-fold increased risk of generalized atherosclerosis, independent of traditional and dietary cardiovascular risk factors.

September 29, 2017

Study shows race doesn't affect PCI outcomes—but does influence treatment decisions

A new JAMA: Cardiology study comparing the outcomes of percutaneous coronary intervention (PCI) in black and white patients showed no difference in one-year mortality rates, but it did shed light on other racial gaps in the cardiovascular treatment process.

September 28, 2017

Cardiovascular disease spiked in year after New Zealand earthquakes

Middle-aged and older residents in the hardest-hit areas suffered 25 percent more cardiovascular-related deaths in the year after the Canterbury earthquakes when compared to neighbors in lesser-impacted areas.

September 27, 2017

Exercise can’t prevent cognitive decline in patients with coronary heart disease

Patients with stable coronary heart disease (CHD)—despite being considered “fit” and participating in phase III cardiac rehabilitation—demonstrated worse cognitive function when compared to healthy, age-matched individuals in a single-center study published in PLOS One.

September 25, 2017

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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