Many Patients With AMI Have Disturbed Glucose Metabolism but No History of Diabetes
One of the researchers’ goals was to investigate the association between newly detected disturbances of glucose metabolism and long-term prognosis after AMI.
Acute Coronary Syndrome
![The most frequent cardiovascular manifestations of AS are aortic insufficiency and conduction disorders.[2] Up to 20% of patients with AS have conduction disorders, of which atrioventricular block is the most common.[5,6] Compared with the general population, patients with AS have a 30% to 50% increase in the risk of acute coronary syndromes, deep venous thromboembolism, pulmonary embolism, or stroke.[8] They also have a 25% to 60% greater risk of ischemic heart disease, congestive heart failure, and valvular heart disease.[9] Heart failure may occur secondary to mitral insufficiency.[2] Aortic dissection, which is a rare but frequently fatal complication of aortic insufficiency, has also been observed in patients with AS.[2] Other potential cardiovascular complications include left ventricular diastolic dysfunction, pericarditis, myocardial disease, peripheral vascular disease, and hypertension.[2,3,5]](https://www.clinicaladvisor.com/wp-content/uploads/sites/11/2020/08/thinkstockphotos474641458101_1032729-544x306.jpg)
Prasugrel Dose Adapted to Age, Weight Found Efficacious for Acute Coronary Syndrome
A reduced dose of prasugrel compared with the standard dose of ticagrelor was associated with maintained anti-ischemic efficacy and safety in elderly or low-weight patients with acute coronary syndrome.
Case Study: Applying the Updated ACC/AHA Guidelines for Primary Prevention of CVD
A 75-year-old man with 10-pack-year smoking history, hypertension, and mild chronic obstructive pulmonary disease presents to your office concerned because several of his friends have recently passed away from “heart attacks.” He states that he quit smoking approximately 7 years ago. His physical exam is within normal limits. He has no history of prior cardiac…
Reassessing the Upper Limit of Normal in High Sensitivity Cardiac Troponin I Assays
Greater scrutiny is needed in evaluating high sensitivity cardiac troponin I levels for the purpose of excluding or diagnosing acute myocardial infarction.
Opioid Prescription at Hospital Discharge May Reduce Likelihood of Follow-up
Patients hospitalized with acute coronary syndrome or acute decompensated heart failure who are prescribed opioid medication at discharge may be less likely to resort to planned healthcare use.
Cholesterol drug may lower risk for death and cardiovascular events
Alirocumab significantly decreased severe cardiovascular risks in patients with acute coronary syndrome.
Noninvasive coronary testing may prevent need for future invasive tests
Low-risk acute coronary syndrome patients may require fewer referrals for invasive coronary angiography if they had initial noninvasive testing such as stress echocardiography or cardiovascular magnetic resonance.
Same-day discharge may be safe for patients after percutaneous coronary intervention
Same-day discharge after percutaneous coronary intervention for non-ST-segment elevation acute coronary syndromes was not predictive of 30-day readmission, death, or bleeding.
Shared decision making boosts patients’ knowledge of acute coronary syndrome risk
The use of a decision aid in patients at risk of acute coronary syndrome increased patient knowledge about their risk.
Chest pain in ER patients rarely life threatening
Only 5.5% of ER patients are diagnosed with 1 of 6 life threatening conditions.
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