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Tag: Heart / Stroke-Related: Heart Attack

High-sensitivity cardiac troponin I concentration can identify individuals at low risk of myocardial infarction or cardiac death within 30 days among patients with suspected acute coronary syndrome

AHA: Cardiac Troponin I IDs Low Risk of MI, Cardiac Death

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In suspected ACS, high-sensitivity cardiac troponin I concentration <5 ng/mL IDs those at low risk
Use of transradial access for ST-elevation myocardial infarction percutaneous coronary intervention increased from 2009 to 2015

’09 to ’15 Saw Increase in Transradial Access for STEMI PCI

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Significant geographic, operator, and institutional variation noted in utilization of TRA
Percutaneous coronary intervention (PCI) of the culprit lesion is associated with better 30-day outcomes than immediate multivessel PCI among patients with multivessel coronary artery disease and acute myocardial infarction with cardiogenic shock

Culprit-Lesion-Only PCI Tied to Improved 30-Day Outcomes

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Linked to lower risk of mortality compared to multivessel PCI in patients with acute MI and multivessel CAD
Incretin treatment appears to improve non-ST-elevation myocardial infarction outcomes in patients with type 2 diabetes and non-obstructive coronary artery stenosis

Incretin Tied to Better Outcomes in NOCS-Diabetes

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Prognosis for T2DM patients with NSTEMI, coronary artery stenosis improves with incretin
For patients with ST-segment elevation myocardial infarction

Chewing Ticagrelor Loading Dose May Be Beneficial in STEMI

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Chewing facilitates better early platelet inhibition compared with standard oral loading dose
Thirty-seven percent of older nursing home residents do not initiate secondary prevention medications after acute myocardial infarction

Secondary Prevention Meds Often Not Started Post-AMI in Seniors

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More than a third of older nursing home residents did not start medication after myocardial infarction
Proton pump inhibitor use is associated with increased risk of first-time ischemic stroke and myocardial infarction

PPI Use Linked to Increased Risk of Ischemic Stroke, MI

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Risks of first-time stroke, myocardial infarction up especially for long-term users, at high doses
About one-quarter of adults discharged after first-time myocardial infarction are detached from employment after one year

Post-MI, One in Four Detached From Employment After 1 Year

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Heart failure, diabetes mellitus, and depression are significant predictors of detachment
For patients with suspected coronary artery disease

MI Incidence Down With CT Angiography in Suspected CAD

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But no reduction in mortality, cardiac hospitalizations for CCTA versus functional stress testing
For individuals without diabetes

Fasting Blood Glucose Trajectory May Predict Future MI

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Increased risk for elevated-stable pattern; decreased risk for elevated-decreasing pattern