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We searched relevant databases (MEDLINE, EMBASE, and Cochrane from 1966 to 2006) to identify randomized controlled trials that compared outcomes for patients with single-vessel proximal LAD assigned to either PCI or CABG. Välkommen till Daisuke i Karlskoga! Despite the known worse prognosis of proximal LAD lesions, in the era of stenting, our long-term outcomes were similar in patients with PCI on proximal LAD versus proximal LCX/RCA and non-proximal LAD. Of the 59 patients who underwent primary angioplasty, Thrombolysis In Myocardial Infarction (TIMI) level 3 perfusion was restored in the infarct vessel in 54 patients (92%). Clinical symptoms and quality of life improved significantly from baseline with both interventions and were similar in magnitude between groups. - The use of evidence-based drug classes is in very good agreement with current guidelines. Primary percutaneous coronary intervention (PCI) is currently the treatment of choice for ST-segment elevation acute myocardial infarction. Adress: Torget 6, Postnummer: 691 31. © 2008-2021 ResearchGate GmbH. - New effective antithrombotic drugs have been quickly introduced in accordance with general recommendations. The 12-lead electrocardiogram (ECG) has a low sensitivity for the detection of acute myocardial infarction, especially if the culprit lesion is in the left circumflex artery (LCA). This was also the case for the combined end point of all-cause mortality and rehospitalization for myocardial infarction, heart failure, or stent thrombosis (HR 1.00, 95% CI 0.79-1.26, P = .99). Conclusions: A comparison between drug-eluting stent implantation and drug-coated balloon angioplasty in patients... Lesion location: Its impacts on the procedural and postprocedural outcomes of unprotected left main... Drug eluting stents: To evolve or dissolve? To assess the extent of jeopardized myocardium in patients with single vessel coronary artery disease of variable severity and location, quantitative exercise thallium-201 single photon emission computed tomography was performed in 158 consecutive patients with angiographically proved single vessel coronary artery disease. Generally very good compliance with guidelines was noted in the 2010 annual report. In the proximal vs. non-proximal LAD groups, multivessel disease was less frequent (p = 0.05). Participating hospitals in RIKS-HIA, SEPHIA, SCAAR, Swedish Heart Surgery Registry and Percutaneous Valve Registry in 2013. We excluded stent recipients and patient who had undergone coronary artery bypass graft surgery. In this substudy, patient eligibility criteria corresponded to that of the INFUSE-AMI study. In conclusion, the 15-lead ECG identified more patients with posterior myocardial wall ischemia because of temporary balloon occlusion of the LC than the 12-lead ECG. • 79 % of the hospitals for projects involving quality improvement. 75 Myocardial infarction was significantly less common with DES in patients who received only one stent RR, 0.80 (95% CI, 0.66-0.96). The costs to society are difficult to establish. • In the area of heart surgery it is seen that: Background: We hypothesised that mechanical stress exerted on the proximal LAD artery by cardiac contractions is a determinant of the need for repeat revascularization after stenting, though the proximal LAD motion has not been thoroughly studied. • Patients with acute myocardial infarction are continuing to change and are characterised by: Background The TASTE trial did not demonstrate clinical benefit of thrombus aspiration (TA). The SWEDEHEART quality index. Restenosis was defined by the need for a second angioplasty at the initial site or by surgical coronary bypass grafting at or distal to the initial site. Patients were classified from the index admission according to stent types used. In the longer term we aim to make the registry a tool in care and an aid in managing the patient. Consequently, high-grade stenoses of the LAD artery are associated with a worse prognosis than similar lesions in other coronary arteries, ... Consequently, high-grade stenoses of the LAD artery are associated with a worse prognosis than similar lesions in other coronary arteries [1], and percutaneous coronary interventions (PCI) for disease of the proximal LAD artery are followed by a higher incidence of repeat revascularization than coronary artery bypass surgery [2]. Introduction: SWEDEHEART Annual report 2013 13 At 7-year follow-up, PCI by SES and MIDCAB in isolated proximal left anterior descending lesions yielded similar long-term outcomes regarding the primary composite clinical endpoint and quality of life. This review will highlight the evolution and present day DES for coronary interventions. To summarise, it can be said that there is strong support among the users for the work that is carried The limit for a score of 1 for the first five indicators has been devised by reviewing a large number of patient records. ACE inhibitors/ARBs in target group for myocardial infarction Despite great improvements in coronary patient care and intervention activity that are good by interna- tional comparison, this report, like previous ones, can highlight several remaining problem areas where there is potential for improvement, for example: 1 review of Daisuke sushi "New small sushi place in Central location Sushi rolls and sashimi Friendly staff Small restaurent with a few tables Take out available Popular lunch place" We assessed the 1-year clinical effect of TA in a subgroup with potentially large anterior STEMI: mid or proximal left anterior descending coronary artery infarct lesion, thrombolysis in myocardial infarction 0 to 2 flow, and symptom onset to PCI time = 5 hours. Results: • 50 % of the hospitals for introducing new diagnostic or therapeutic methods. There were no significant differences in the incidence of the primary composite endpoint between groups (22% PCI vs. 12% MIDCAB; p = 0.17) or the endpoints death (14% vs. 17%; p = 0.81) and myocardial infarction (6% vs. 9%, p = 0.74). In acute myocardial infarction that is treated with thrombolysis, proximal coronary artery occlusion is associated with worse prognosis, irrespective of the infarcted artery. Lesion location and clinical outcomes were evaluated in 2,488 patients from the Thrombolysis In Myocardial Infarction (TIMI) 4, 10A, 10B, and 14 trials. Proportion of myocardial infarctions A total of 463 patients with DES implantation were enrolled and randomized in the development and validation sets. The survival rate among patients with disease of the right coronary artery (RCA) was higher than that among patients with left anterior descending (LAD) or left circumflex coronary artery (LCA) disease. The registry is financed by the Swedish Association of Local Authorities and Regions (SALAR) and the Swedish State. The restenosis rate was 50% lower in DES-treated patients RR, 0.50 (95% CI, 0.35-0.70) and was associated with a higher adjusted RR of MI, RR, 5.03 (95% CI, 4.25-5.97). The patients were divided into two groups according to the lesion location. Clinical and procedural risk factors were collected prospectively. SWEDISH HEART SURGERY REGISTRY Association. Conclusions: 75 Procedural success was higher in the stenting groups, but there were no significant differences in the major in-hospital events between the different lesion locations among the groups. At the same time we need to open up further in order to make relevant and correct information more readily available to both decision-makers and patients. Target vessel revascularization was more frequent in the PCI group. - Cardiogenic shock is continuously less com- mon at presentation for primary PCI. The study population included 1,289 patients with proximal coronary artery stenoses treated with percutaneous coronary interventions (PCI) with or without stents for single-vessel coronary disease between 1994 and 1999. Conclusions: The individualized prediction nomogram incorporating 5 commonly clinical and angiographic characteristics for patients undergoing PCI can be conveniently used to facilitate early identification and improved screening of patients at higher risk of ISR. The statistical methods included Chi-square or Fisher's exact test, student's t-test, stratification methods, multivariate logistic regression and Cox proportional hazards model. Disclaimer. The images with a slice thickness of 0.5 mm reconstructed with IR (mean [SD] error, 8.8% [5.9%]) obtained by the IC detector significantly (P < 0.001) improved measurement accuracy in the phantom as compared with FBP with a slice thickness of 0.6 mm (mean [SD] error, 12.1% [7.6%]). The IC detector yielded significantly more accurate results regarding stenosis grading when compared with the images acquired with the conventional detector regarding both FBP (mean [SD] error FBP, 12.1% [7.6%] vs 13.7% [7.6%]; P = 0.043) and IR (mean [SD] error IR, 10.5% [6.6%] vs 13.0% [6.9%]; P < 0.001). Results: Conclusion : PCI with using drug eluting stents in the left main lesion showed favorable short term outcomes in selected patients. Drug-eluting stents were associated with significant reductions in the rate of target-vessel revascularization among patients with two or three risk factors for restenosis (i.e., presence of diabetes, small vessels [<3 mm in diameter], and long lesions [> or =20 mm]) but not among lower-risk patients. Avesta* Kiruna* Lycksele* Gällivare Karlskoga - Aspirin (acetylsalicylic acid), P2Y12 receptor blockade, beta-blockers and lipid-lowering treatment. Baseline demographic, clinical, and angiographic data were obtained. Patients were divided into 4 groups: non-stent PCI in the proximal LAD artery (n = 168), non-stent PCI in proximal right/circumflex artery (n = 217), stent in the proximal LAD artery (n = 364), and stent to proximal right/circumflex artery (n = 540). Over the last 12 months SWEDEHEART had been used at: The decrease is most evident for elderly patients and in long-term follow-up. • The coverage for systematic follow-up of myocar- dial infarction patients varies across the country. 927 were here. http://creativecommons.org/licenses/by-nc-nd/4.0/. As compared with bare-metal stents, drug-eluting stents are associated with a similar long-term incidence of death or myocardial infarction and provide a clinically important decrease in the rate of restenosis among high-risk patients. The use of drug-eluting stents (DES) in these patients is widespread, despite uncertain long-term safety and efficacy. Methods Background Thus, patients with proximal stenoses treated with non-stenting strategies have lower procedural success than those treated with stenting strategies; the patients with proximal LAD non-stent PCI have significantly higher rates of clinical restenosis than patients with proximal right and circumflex stenoses. However, the pathophysiological mechanisms implicated in this discrepancy largely remain uncertain. At the time of coronary angiography, the balloon was inflated to produce complete occlusion of the proximal LCA. Target vessel revascularization was more frequent in the PCI group. A significant proportion of patients with myocardial infarction are missed upon initial presentation to the emergency department. Methods: We prospectively analysed the electrocardiogram-gated, 64-slice multi detector row computed tomography (CT) images obtained in 297 consecutive patients suspected of suffering from coronary artery disease for having major risk factors, an abnormal electrocardiogram, or angina pectoris. Furthermore in studies in which restenosis is an outcome of interest, an allowance should be made for the distribution of target disease. Moreover, DCA showed that the nomogram was clinically useful when intervention was decided at the possibility threshold of 9%, indicating good utility for clinical decision-making. The area under the curve (AUC) of the receiver operating characteristics (ROC), calibration plot and decision curve analysis (DCA) were performed to estimate the discrimination, calibration and utility of the nomogram model respectively. Patients who received at least one DES (n = 4754) were compared with those who received only bare metal stents (BMS) (n = 4956) at the index procedure. Patients had 1-year clinical and 8-month angiographic follow-up. Stenting techniques such as the T, crush and kissing stent techniques for treating the LMCA were used at the discretion of the operator and according to the characteristics of the lesion location. - One year after an MI, 38 % have reached the target for lipid control (LDL below 1.8 mmol/L), 67 % have reached the target for blood pressure control and 86 % are non- smoking. Factors correlated with myocardial salvage included elapsed time from onset of pain to reperfusion, infarct location (anterior infarcts had more myocardial salvage than inferior infarcts), and residual flow to the infarct zone at preangioplasty baseline levels. The high quality of calibration plots in both datasets demonstrated strong concordance performance of the nomogram model. In the proximal LAD vs. proximal LCX/RCA groups, smoking and multivessel disease were less frequent and drug-eluting stents were used more often (p = 0.01, p < 0.001, and p < 0.001, respectively). Since the left anterior descending (LAD) coronary artery supplies approximately 50% of the left ventricular myocardial blood flow [11,12], progression of atherosclerosis in that vessel might be associated with worse clinical outcomes than progression of disease in other epicardial arteries. Kata kunci: In-stent restenosis, lama implantasi stent, angiografi koroner evaluasi, penyakit jantung koroner. Not measuring quality is the lowest form of quality. - LMW heparin/fondaparinux and early coronary angiography and revascularisation for non-ST-elevation myocardial infarction (NSTEMI). Endovascular stents and stent grafts are increasingly used to treat a variety of cardiovascular diseases and these endovascular Although several factors associated with ISR in our study are concordant with previous findings, some key predictors including stents in LAD, type of stent, and absence of clopidogrel have not been reported consistently in literature. Clinical symptoms and quality of life improved significantly from baseline with both interventions and were similar in magnitude between groups. The high quality of calibration plots in both datasets demonstrated strong concordance performance of the nomogram model. 890 har været her. While lipid treatment has improved, no improvement in blood pressure treatment or smoking cessation rates has been observed during last few years. - The proportion of elderly patients (> 80 years) is steadily increasing among those undergoing coronary angiography. The highest score in 2013 was achieved by Västervik Hospital, followed by Nyköping Hospital and the hospitals in Köping and Västerås. medicine. Background: Restenosis is a major limitation of angioplasty. In comparison with 2011, an improvement in the index occurred in 2012 (Fig- ure 2) from a mean value of 4.6 to 5.1. 887 personas estuvieron aquí. P2Y12 blockers in NSTEMI 85 90 Patients had larger reference vessel diameters (p < 0.001) and were more frequently treated with stents, especially direct stenting technique (p < 0.001). 26.0 The new index, the SWEDEHEART quality index, focuses more on areas where there is great scope for improvement, e.g. - The vast majority of patients are asymptomatic when assessed two months and one year after the infarction. Oskarshamn SU Mölndal SU Östra Skåne US Visby Alingsås Arvika Helsingborg Hudiksvall Lidköping Mora Norrköping Varberg Bollnäs Eskilstuna In conclusion, our analysis shows that, even in patients with acute myocardial infarction that is treated with primary PCI, infarcts related to the proximal LAD have the worst 3-year survival and lowest residual LVEF compared with distal LAD or non-LAD-related infarcts. Soon thereafter emerged the spectre of very late stent thrombosis (VLST) with DES. Impaired coronary artery blood flow and left anterior descending (LAD) artery culprit location are angiographic variables that have been associated with poorer outcomes after fibrinolytic administration in patients with acute myocardial infarction (AMI). It is uncertain whether percutaneous coronary interventions (PCI) or coronary artery bypass grafting (CABG) surgery provides better clinical outcomes among patients with single-vessel disease of the proximal LAD. • There is no trend towards a reduction in the improperly wide variation across Sweden regarding the proportion of patients who are treated with PCI or undergo coronary surgery. Välkommen åter ☺ - The decrease is entirely accounted for by fewer pure coronary artery operations. Figure 1. The CACS of the LM-LAD arteries was also calculated. - The number of heart operations in Sweden is continuing to fall slightly in comparison with previous years. This review aims to provide an overview of the commonly performed Patients with LC occlusion are less likely to present with ST-segment elevation AMI and have emergency PCI. Conclusions: We measured the amount of compression and torsion to the proximal LAD artery associated with the cardiac contractions. Subjects and Methods : From July 2003 to January 2006, we enrolled 82 patients (Males: n=49), who underwent PCI for unprotected LMCA stenosis at Yeungnam University Medical Center, Keimyung University Dong-san Hospital and In-je Univetsity Baik Hospital in Busan. • The proportion of patients with acute myocardial infarction (AMI) who are included in SWEDEHEART is still increasing. way compilations can be made both for common registration errors and for aspects that deviate from national or local guidelines. Proximal lesions were located before or at the first major branch of the parent artery, mid lesions were between the first and the second major branches, and all other lesions were classified as distal. The primary purpose of SWEDEHEART is to support development of evidence-based therapy in acute and chronic coronary artery disease and in catheter-based or surgical valve intervention by The hemodynamic or anatomical differences between the right and left coronary artery might play a key role. Enzymatic infarct size and LVEF within 1 week were measured. Additional presence of multivessel coronary artery disease further aggravates outcome. The dreamlike remarkable reduction in ISR with DES was enthusiastically welcomed. In the proximal LAD, DES implantation was associated with a lower restenosis rate (HR 0.39, CI 0.27-0.55 p<0.001) and mortality (HR 0.58, CI 0.41-0.82 p=0.002) compared with BMS. In response to the question whether the top management of the hospital had asked for SWEDEHEART data, 31 % answered “yes, at least every 3 months”, 39 % “yes, on a yearly basis”, while 30 % answered “no” or did not know. coverage and secondary preventive measures such as smoking cessation, blood pressure monitoring, and participa- tion in physical training programmes. (C) 2015 by the American College of Cardiology Foundation. The proximal LAD artery shortened (Ld>Ls) or lengthened (Ld

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