Guideline | By J Brugada, DG Katritsis, ESC Scientific Document Group et al.
Complete Revascularization with Multivessel PCI for Myocardial Infarction
Clinical Trial | By Mehta SR, Wood DA, COMPLETE Trial Steering Committee and Investigators.
BACKGROUND - In patients with ST-segment elevation myocardial infarction (STEMI), percutaneous coronary intervention (PCI) of the culprit lesion reduces the risk of cardiovascular death or myocardial infarction. Whether PCI of nonculprit lesions further reduces the risk of such events is unclear. METHODS - We randomly assigned patients with STEMI and multivessel coronary artery disease who ha...
Clinical Trial | By GN Janssens, NW van der Hoeven, JS Lemkes et al.
OBJECTIVES- The aim of the present study was to determine the effect of a delayed versus an immediate invasive approach on final infarct size and clinical outcome up to 1 year. BACKGROUND- Up to 24% of patients with acute coronary syndromes present with ST-segment elevation myocardial infarction (STEMI) but show complete resolution of ST-segment elevation and symptoms before revascularization. Cu...
A Genotype-Guided Strategy for Oral P2Y12 Inhibitors in Primary PCI
Clinical Trial | By DMF Claassens, GJA Vos, TO Bergmeijer et al.
BACKGROUND - It is unknown whether patients undergoing primary percutaneous coronary intervention (PCI) benefit from genotype-guided selection of oral P2Y12 inhibitors. METHODS - We conducted a randomized, open-label, assessor-blinded trial in which patients undergoing primary PCI with stent implantation were assigned in a 1:1 ratio to receive either a P2Y12 inhibitor on the basis of early CYP2...
Ticagrelor or Prasugrel in Patients with Acute Coronary Syndromes
Clinical Trial | By Schüpke S, Neumann FJ, ISAR-REACT 5 Trial Investigators.
BACKGROUND - The relative merits of ticagrelor as compared with prasugrel in patients with acute coronary syndromes for whom invasive evaluation is planned are uncertain. METHODS - In this multicenter, randomized, open-label trial, we randomly assigned patients who presented with acute coronary syndromes and for whom invasive evaluation was planned to receive either ticagrelor or prasugrel. The primary end point...
EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update
Consensus | By Glikson M, Wolff R, Hindricks G et al.
Chapter 1. Background and pathophysiology of thrombus formation in the left atrium The rationale for the quest to close the left atrial appendage (LAA) for stroke prevention is composed of three elements: the concept that atrial fibrillation (AF) causes strokes, the concept that strokes are associated with thrombus formation in the LAA, and that these thrombi cause strokes by embolisation to the cerebral circulation. There are strong d...
Clinical Trial | By P Vranckx, M Valgimigli, A Goette et al.
BACKGROUND - We aimed to assess the safety of edoxaban in combination with P2Y12 inhibition in patients with atrial fibrillation who had percutaneous coronary intervention (PCI). METHODS - ENTRUST-AF PCI was a randomised, multicentre, open-label, non-inferiority phase 3b trial with masked outcome evaluation, done at 186 sites in 18 countries. Patients had atrial fibrillation requiring oral anticoa...
Angiotensin–Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction
Clinical Trial | By SD Solomon, the PARAGON-HF Investigators and Committees. JohnJV McMurray,
BACKGROUND - The angiotensin receptor–neprilysin inhibitor sacubitril–valsartan led to a reduced risk of hospitalization for heart failure or death from cardiovascular causes among patients with heart failure and reduced ejection fraction. The effect of angiotensin receptor–neprilysin inhibition in patients with heart failure with preserved ejection fraction is unclear. METHODS - We randomly assigned 482...