scholarly journals Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease

2018 ◽  
Vol 9 ◽  
Author(s):  
Anja Schaich ◽  
Anna L. Westermair ◽  
Matthias Munz ◽  
Stefan Nitsche ◽  
Bastian Willenborg ◽  
...  
2018 ◽  
Vol 41 (12) ◽  
pp. 1555-1562 ◽  
Author(s):  
Narut Prasitlumkum ◽  
Chanavuth Kanitsoraphan ◽  
Veraprapas Kittipibul ◽  
Pattara Rattanawong ◽  
Pakawat Chongsathidkiet ◽  
...  

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Daniel Matta ◽  
Christina Marsalisi ◽  
Wayne Ruppert ◽  
Ravi Korabathina

Background: Each year, up to 136,000 individuals suffering from acute coronary syndrome (ACS) are misdiagnosed and discharged from our nations’ emergency departments. We developed the Simple Acute Coronary Syndrome (SACS) score that tabulates a patient’s symptoms, ECG findings, risk factors, and cardiac markers (Figure 1). Our aim was to validate this novel scoring tool in its ability to identify the presence of obstructive coronary artery disease (CAD). Methods: A single-center retrospective chart review was performed after institutional review board approval. The charts of 42 consecutive patients who presented with ACS and who were treated with an invasive strategy were reviewed. Scores were calculated for each patient using the SACS tool as well as the Modified Thrombolysis in Myocardial Infarction (TIMI) ACS calculator. The study endpoint was the presence of at least one vessel obstructive CAD at cardiac catheterization. Descriptive statistics were employed. Results: The stratification of SACS and Modified TIMI scores for each of the 42 ACS patients is shown in Figure 2. In patients with a SACS score that was less than 3, none of these patients were found to have obstructive CAD at cardiac catheterization. For patients with a SACS score of 4 or higher, 100% of these patients were shown to have obstructive CAD. For patients with Modified TIMI scores of 1 and 2, 3/11 (27%) were found to have obstructive CAD. Conclusions: The novel SACS scoring system identifies ACS patients who will have obstructive CAD more reliably than more traditional scoring systems. The SACS scoring tool needs to be validated in larger scale studies.


1990 ◽  
Vol 65 (9) ◽  
pp. 590-593 ◽  
Author(s):  
James A. Hill ◽  
Ariel A. Miranda ◽  
Stephen G. Keim ◽  
Marshall H. Decker ◽  
Jose I. Gonzalez ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Caroline Ball ◽  
Gianluca Pontone ◽  
Mark Rabbat

Fractional flow reserve (FFR) derived from coronary CTA datasets (FFRCT) is a major advance in cardiovascular imaging that provides critical information to the Heart Team without exposing the patient to excessive risk. Previously, invasive FFR measurements obtained during a cardiac catheterization have been demonstrated to reduce contrast use, number of stents, and cost of care and improve outcomes. However, there are barriers to routine use of FFR in the cardiac catheterization suite. FFRCT values are obtained using resting 3D coronary CTA images using computational fluid dynamics. Several multicenter clinical trials have demonstrated the diagnostic superiority of FFRCT over traditional coronary CTA for the diagnosis of functionally significant coronary artery disease. This review provides a background of FFR, technical aspects of FFRCT, clinical applications and interpretation of FFRCT values, clinical trial data, and future directions of the technology.


2000 ◽  
Vol 50 (2) ◽  
pp. 97-125 ◽  
Author(s):  
Dean D. Von Dras ◽  
Ilene C. Siegler ◽  
John C. Barefoot ◽  
Redford B. Williams ◽  
Daniel B. Mark

This investigation explored relationships between coronary catherization patient and wife's characteristics and their perceptions of social support. Participants were 124 male patients undergoing diagnostic catherization to detect coronary artery disease (CAD) and their wives. Patients and wives' mean ages were fifty-nine and fifty-six years, respectively. While visiting the hospital both patient and wife independently completed a brief questionnaire that assessed psychological and physical health characteristics and perceptions of social support. Congruent with the interdependent and overlapping contexts, and reciprocal relationships assumptions of Revenson's (1994) ecological/contextual framework, results suggested characteristics of patients and wives (e.g., age, mental health, social functioning, hostility, depression, general perceived health) to interactively moderate their perceptions of social support. Overall, perceptions of social support were found to be influenced by characteristics of the perceiver, the support provider, and their interaction. Concerns for supportive and helpful caregiving are discussed.


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