Pub Date : 2023-06-05DOI: 10.1007/s11936-023-00993-6
Matthew Brandorff, Julia Graham, Kirana Gudi
Purpose of review: This paper assesses recent literature on the impact of chronic obstructive pulmonary disease (COPD) in patients with coronary artery disease (CAD) undergoing revascularization. Specifically, to determine if there is an optimal revascularization strategy for this patient population, and if there are other modalities to assess the risks.
Recent findings: There are limited new data in the last year addressing this clinical question. Recently there have been a series of studies which reinforced that COPD is a key independent risk factor for adverse outcomes after revascularization. There is no optimal revascularization strategy; however, there was a nonsignificant signal of potential benefit with percutaneous coronary intervention (PCI) with short-term outcomes in the SYNTAXES trial. Currently, pulmonary function tests (PFT) are limited in clarifying risk assessments prior to revascularization, and there are investigations into the use of biomarkers to provide further insight into this increased risk of adverse outcomes in patients with COPD.
Summary: COPD is a key risk factor for poor outcomes in patients requiring revascularization. More investigations are needed to determine the optimum revascularization strategy.
{"title":"Revascularization Strategies in Patients with Coronary Artery Disease and Chronic Obstructive Lung Disease.","authors":"Matthew Brandorff, Julia Graham, Kirana Gudi","doi":"10.1007/s11936-023-00993-6","DOIUrl":"10.1007/s11936-023-00993-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>This paper assesses recent literature on the impact of chronic obstructive pulmonary disease (COPD) in patients with coronary artery disease (CAD) undergoing revascularization. Specifically, to determine if there is an optimal revascularization strategy for this patient population, and if there are other modalities to assess the risks.</p><p><strong>Recent findings: </strong>There are limited new data in the last year addressing this clinical question. Recently there have been a series of studies which reinforced that COPD is a key independent risk factor for adverse outcomes after revascularization. There is no optimal revascularization strategy; however, there was a nonsignificant signal of potential benefit with percutaneous coronary intervention (PCI) with short-term outcomes in the SYNTAXES trial. Currently, pulmonary function tests (PFT) are limited in clarifying risk assessments prior to revascularization, and there are investigations into the use of biomarkers to provide further insight into this increased risk of adverse outcomes in patients with COPD.</p><p><strong>Summary: </strong>COPD is a key risk factor for poor outcomes in patients requiring revascularization. More investigations are needed to determine the optimum revascularization strategy.</p>","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":0.8,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1007/s11936-023-00989-2
M. Ajmal, R. Widmer, M. Corban
{"title":"Evaluation of Coronary Microvascular and Endothelial Function in the Cardiac Catheterization Laboratory","authors":"M. Ajmal, R. Widmer, M. Corban","doi":"10.1007/s11936-023-00989-2","DOIUrl":"https://doi.org/10.1007/s11936-023-00989-2","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"219 - 232"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48324950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1007/s11936-023-00985-6
J. Karacsonyi, Salman S. Allana, E. Brilakis, Y. Sandoval
{"title":"Intravascular Lithotripsy for Treatment of Calcified Coronary Lesions","authors":"J. Karacsonyi, Salman S. Allana, E. Brilakis, Y. Sandoval","doi":"10.1007/s11936-023-00985-6","DOIUrl":"https://doi.org/10.1007/s11936-023-00985-6","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"189 - 203"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47531407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-18DOI: 10.1007/s11936-023-00986-5
M. Maffey, L. Ybarra
{"title":"Revascularization in Left Main Coronary Artery Disease","authors":"M. Maffey, L. Ybarra","doi":"10.1007/s11936-023-00986-5","DOIUrl":"https://doi.org/10.1007/s11936-023-00986-5","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"205 - 218"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46717343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-21DOI: 10.1007/s11936-023-00983-8
E. Paratz, I. Scheffer, C. Semsarian
{"title":"Is a History of Seizures an Important Risk Factor for Sudden Cardiac Death in Young Athletes?","authors":"E. Paratz, I. Scheffer, C. Semsarian","doi":"10.1007/s11936-023-00983-8","DOIUrl":"https://doi.org/10.1007/s11936-023-00983-8","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"175 - 187"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46047298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-18DOI: 10.1007/s11936-023-00984-7
Ashwini P. Kerkar, J. H. Juratli, Anupam Kumar, Thomas A. McLaren, N. Sutton
{"title":"Best Practices for Physiologic Assessment of Coronary Stenosis","authors":"Ashwini P. Kerkar, J. H. Juratli, Anupam Kumar, Thomas A. McLaren, N. Sutton","doi":"10.1007/s11936-023-00984-7","DOIUrl":"https://doi.org/10.1007/s11936-023-00984-7","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"159 - 174"},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46743397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-03DOI: 10.1007/s11936-023-00980-x
Jaya Kanduri, Rachel Axman, Daniel Y Lu, D. Feldman, L. Kim
{"title":"Mechanical Circulatory Support: When and How to Use It","authors":"Jaya Kanduri, Rachel Axman, Daniel Y Lu, D. Feldman, L. Kim","doi":"10.1007/s11936-023-00980-x","DOIUrl":"https://doi.org/10.1007/s11936-023-00980-x","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"111 - 126"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42466517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1007/s11936-023-00981-w
K. Voudris, D. Feldman
{"title":"Shortening and De-Escalation of Dual Antiplatelet Therapy After PCI","authors":"K. Voudris, D. Feldman","doi":"10.1007/s11936-023-00981-w","DOIUrl":"https://doi.org/10.1007/s11936-023-00981-w","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"127 - 141"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41486260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01Epub Date: 2023-03-04DOI: 10.1007/s11936-023-00976-7
Rola Khedraki, Austin A Robinson, Timothy Jordan, Justin L Grodin, Rajeev C Mohan
Purpose of review: Establishing an early, efficient diagnosis for cardiac amyloid (CA) is critical to avoiding adverse outcomes. We review current imaging tools that can aid early diagnosis, offer prognostic information, and possibly track treatment response in CA.
Recent findings: There are several current conventional imaging modalities that aid in the diagnosis of CA including electrocardiography, echocardiography, bone scintigraphy, cardiac computed tomography (CT), and cardiac magnetic resonance (CMR) imaging. Advanced imaging techniques including left atrial and right ventricular strain, and CMR T1 and T2 mapping as well as ECV quantification may provide alternative non-invasive means for diagnosis, more granular prognostication, and the ability to track treatment response.
Summary: Leveraging a multimodal imaging toolbox is integral to the early diagnosis of CA; however, it is important to understand the unique role and limitations posed by each modality. Ongoing studies are needed to help identify imaging markers that will lead to an enhanced ability to diagnose, subtype and manage this condition.
综述的目的：确定心脏淀粉样变性（CA）的早期有效诊断对于避免不良后果至关重要。我们回顾了目前可帮助早期诊断、提供预后信息并可能跟踪 CA 治疗反应的成像工具：目前有几种常规成像模式可帮助诊断 CA，包括心电图、超声心动图、骨闪烁扫描、心脏计算机断层扫描（CT）和心脏磁共振（CMR）成像。包括左心房和右心室应变、CMR T1 和 T2 映像以及 ECV 定量在内的先进成像技术可为诊断提供替代性无创手段、更精细的预后判断以及跟踪治疗反应的能力。需要不断进行研究，以帮助确定成像标记物，从而提高诊断、分型和管理这种疾病的能力。
{"title":"A Review of Current and Evolving Imaging Techniques in Cardiac Amyloidosis.","authors":"Rola Khedraki, Austin A Robinson, Timothy Jordan, Justin L Grodin, Rajeev C Mohan","doi":"10.1007/s11936-023-00976-7","DOIUrl":"10.1007/s11936-023-00976-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Establishing an early, efficient diagnosis for cardiac amyloid (CA) is critical to avoiding adverse outcomes. We review current imaging tools that can aid early diagnosis, offer prognostic information, and possibly track treatment response in CA.</p><p><strong>Recent findings: </strong>There are several current conventional imaging modalities that aid in the diagnosis of CA including electrocardiography, echocardiography, bone scintigraphy, cardiac computed tomography (CT), and cardiac magnetic resonance (CMR) imaging. Advanced imaging techniques including left atrial and right ventricular strain, and CMR T1 and T2 mapping as well as ECV quantification may provide alternative non-invasive means for diagnosis, more granular prognostication, and the ability to track treatment response.</p><p><strong>Summary: </strong>Leveraging a multimodal imaging toolbox is integral to the early diagnosis of CA; however, it is important to understand the unique role and limitations posed by each modality. Ongoing studies are needed to help identify imaging markers that will lead to an enhanced ability to diagnose, subtype and manage this condition.</p>","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"43-63"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10795761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47222323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-17DOI: 10.1007/s11936-023-00978-5
D. Katzianer, Ran Lee, M. Militello, A. Higgins
{"title":"Anticoagulation Strategies in Temporary Mechanical Circulatory Support","authors":"D. Katzianer, Ran Lee, M. Militello, A. Higgins","doi":"10.1007/s11936-023-00978-5","DOIUrl":"https://doi.org/10.1007/s11936-023-00978-5","url":null,"abstract":"","PeriodicalId":35912,"journal":{"name":"Current Treatment Options in Cardiovascular Medicine","volume":"25 1","pages":"79 - 91"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49465955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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