Acute Coronary Syndromes

Acute coronary syndrome (ACS) is most commonly caused by a heart attack (myocardial infarction) where blood flow to the heart is suddenly blocked. This is usually caused by a blood clot from a ruptured coronary artery atherosclerotic plaque. Other causes include spontaneous coronary artery dissection (SCAD), which most commonly occurs in women. ACS is usually treated in a cath lab with angioplasty and the placement of a stent to prop the vessel open.

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Fall, winter weather linked to increased risk of MI

Colder temperatures, stronger winds and fewer hours of sunlight could all raise a person’s risk of myocardial infarction, researchers reported in JAMA Cardiology.

Busiest EDs produce best outcomes for patients with chest pain

Patients evaluated for chest pain in busier emergency departments experience lower rates of death or hospitalization for acute coronary syndrome (ACS) at both 30 days and one year, according to a study published Oct. 23 in Circulation: Cardiovascular Quality and Outcomes.

Researchers highlight possible ‘neglected risk factor’ for MI

Certain antiphospholipid antibodies were detected more often after heart attacks than for age-matched controls, suggesting the markers could be used to identify patients at high risk of myocardial infarction, according to a study published Oct. 22 in the Annals of Internal Medicine.

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Canada introduces tiered CVD screening for high school athletes

Canadian physicians are calling for nationwide CVD screening for all competitive high school athletes, CTV News reported this week of new guidelines issued at the Canadian Cardiovascular Congress in Toronto.

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How much exercise is enough to counteract heart disease?

Patients with heart disease should aim to be physically active seven minutes for every 20 they’re sedentary to prolong life and prevent further cardiovascular damage, according to research presented at the 2018 Canadian Cardiovascular Congress in Toronto.

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Novel risk predictor identifies likelihood of readmission after AMI

A novel risk score incorporating patient demographics and clinical characteristics known ahead of hospital discharge can accurately identify CVD patients at low and high risk for 90-day readmission after an initial acute MI (AMI), according to research published in the October edition of Circulation: Cardiovascular Quality and Outcomes.

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Bedside troponin test can rule out AMI within 15 minutes

A point-of-care troponin assay that yields results within about 15 minutes was equally effective at ruling out acute myocardial infarction (AMI) as a high-sensitivity troponin I test performed in a laboratory setting, researchers reported in JAMA Cardiology.

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Elevated levels of cystatin C linked to 28% increased risk of CVD after ACS

Cystatin C (Cys-C), an alternative to renal markers like creatinine and glomerular filtration rate, can effectively predict a patient’s risk for adverse CVD events after an acute coronary syndrome (ACS), researchers reported Oct. 12 in the Journal of the American Heart Association.