Lots of interesting abstracts and cases were submitted for TCTAP & AP VALVES 2020 Virtual. Below are accepted ones after thoroughly reviewed by our official reviewers. Don¡¯t miss the opportunity to explore your knowledge and interact with authors as well as virtual participants by sharing your opinion!
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ABS20191113_0001
| Acute Coronary Syndromes (STEMI, NSTE-ACS) | |
| The Assessment of Coronary Angiography Lesions on Survivors from Cardiac Arrest at Single Centre | |
| Tung Bui Nguyen1 | |
| Bach Mai Hospital, Vietnam1 | |
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Background:
Cardiac arrest remains a major public health issue. Emergency coronary angiography and percutaneous coronary intervention might improve survival, especially when cardiac arrest is caused by acute myocardial infraction. However, identifying patients with AMI after cardiac arrest remains challenging. The aim of this study was to assessment the degree of coronary artery disease using coronary angiography after cardiac arrest.
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Methods:
This cross-sectional study involved patients were diagnosed with cardiac arrest according to the 2006 American heart association/ American college of cardiology. The patient underwent systematic emergency coronary angiography. Patients with critical stenosis or occlusion underwent ad hoc PCI.
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Results:
Between 2016 and 2019, 60 survivors from cardiac arrest presumed of cardiac origin were included immediate coronary angiography showed significant coronary artery lesions in 70% of patients, but only a minority had angiography evidence of an acute syndrome due to either an acute occlusion (22% ) or an irregular lesion suggestive of ruptured plaque or thrombus (45%). ST segment elevation predicted acute coronary occlusion in 66.7%.
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Conclusion:
Acute coronary occlusions are frequent in survivors of cardiac arrest and is predicted poorly by clinical and electrocardiographic finding. Accurate diagnosis by immediate coronary angiography can be followed in suitable candidates by coronary angioplasty, which seems to improve survival. |
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