2024
2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
Members W, Thompson A, Fleischmann K, Smilowitz N, de las Fuentes L, Mukherjee D, Aggarwal N, Ahmad F, Allen R, Altin S, Auerbach A, Berger J, Chow B, Dakik H, Eisenstein E, Gerhard-Herman M, Ghadimi K, Kachulis B, Leclerc J, Lee C, Macaulay T, Mates G, Merli G, Parwani P, Poole J, Rich M, Ruetzler K, Stain S, Sweitzer B, Talbot A, Vallabhajosyula S, Whittle J, Williams K. 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Journal Of The American College Of Cardiology 2024, 84: 1869-1969. PMID: 39320289, DOI: 10.1016/j.jacc.2024.06.013.Peer-Reviewed Original ResearchPerioperative cardiovascular evaluationNoncardiac surgeryCardiovascular evaluationCardiovascular managementManagement of adult patientsComprehensive literature searchEvidence-based management strategiesAdult patientsPharmacological therapyClinical studiesACC/AHA guidelinesPerioperative monitoringAmerican CollegeCochrane LibrarySurgeryCardiovascular diseaseLiterature searchMedical conditionsCliniciansHuman subjectsJoint CommitteeGuidelines2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
Thompson A, Fleischmann K, Smilowitz N, de Las Fuentes L, Mukherjee D, Aggarwal N, Ahmad F, Allen R, Altin S, Auerbach A, Berger J, Chow B, Dakik H, Eisenstein E, Gerhard-Herman M, Ghadimi K, Kachulis B, Leclerc J, Lee C, Macaulay T, Mates G, Merli G, Parwani P, Poole J, Rich M, Ruetzler K, Stain S, Sweitzer B, Talbot A, Vallabhajosyula S, Whittle J, Williams K. 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2024, 150: e351-e442. PMID: 39316661, DOI: 10.1161/cir.0000000000001285.Peer-Reviewed Original ResearchPerioperative cardiovascular evaluationNoncardiac surgeryCardiovascular evaluationCardiovascular managementManagement of adult patientsComprehensive literature searchEvidence-based management strategiesAdult patientsPharmacological therapyClinical studiesACC/AHA guidelinesPerioperative monitoringAmerican CollegeSurgeryCochrane LibraryCardiovascular diseaseLiterature searchMedical conditionsCliniciansHuman subjectsJoint CommitteeGuidelinesEndovascular versus surgical revascularization for patients with chronic limb‐threatening ischemia: A systematic review and meta‐analysis of randomized controlled trials
Balakrishna A, Alla V, Aronow H, Secemsky E, Altin S, Jayasuriya S, Goldsweig A. Endovascular versus surgical revascularization for patients with chronic limb‐threatening ischemia: A systematic review and meta‐analysis of randomized controlled trials. Catheterization And Cardiovascular Interventions 2024, 104: 1012-1014. PMID: 39162243, DOI: 10.1002/ccd.31200.Peer-Reviewed Original ResearchMyocardial infarction with nonobstructive coronary arteries: a single-center retrospective study by sex and race
Hsueh C, Esin G, Breen T, Gitto M, Katz M, Gulati M, Capers Q, Reynolds H, Volgman A, Wenger N, Altin S. Myocardial infarction with nonobstructive coronary arteries: a single-center retrospective study by sex and race. Coronary Artery Disease 2024, 35: 684-691. PMID: 38989611, DOI: 10.1097/mca.0000000000001402.Peer-Reviewed Original ResearchRate of nonfatal MINonobstructive coronary arteriesMyocardial infarctionCerebrovascular accidentBlack patientsNonfatal MISecondary outcomesSingle-center retrospective studyCoronary arteryRate of cerebrovascular accidentsIncreased risk of readmissionAssociated with decreased oddsNonfatal cerebrovascular accidentAssociated with increased oddsAcute myocardial infarctionMINOCA patientsPatient-level dataRepeat angiographyCoronary angiographyRisk of readmissionBaseline demographicsRetrospective studyMINOCAFemale sexAngiographic reviewCo-Morbidity Differences Associated With Long-Term Amputation and Repeat Revascularization Rates After Femoropopliteal Artery Intervention for Intermittent Claudication by Sex, Race, and Ethnicity
Altin S, Parise H, Hess C, Rosenthal N, Julien H, Curtis J. Co-Morbidity Differences Associated With Long-Term Amputation and Repeat Revascularization Rates After Femoropopliteal Artery Intervention for Intermittent Claudication by Sex, Race, and Ethnicity. The American Journal Of Cardiology 2024, 226: 40-49. PMID: 38834142, DOI: 10.1016/j.amjcard.2024.05.021.Peer-Reviewed Original ResearchNon-Hispanic patientsHispanic patientsIntermittent claudicationPeripheral vascular interventionsBlack patientsWhite patientsAmputation rateIndex limb amputationHazard ratioCox proportional hazards regression modelsDisease-specific issuesProportional hazards regression modelsHazards regression modelsBaseline characteristicsLimb amputationMajor amputationUnadjusted ratesAssociated with higher ratesHealthcare databasesBlack raceSecondary outcomesPrimary outcomeAmputationRevascularization ratesComparison groupPolyvascular Disease: A Narrative Review of Risk Factors, Clinical Outcomes and Treatment
Tannu M, Hess C, Gutierrez J, Lopes R, Swaminathan R, Altin S, Rao S. Polyvascular Disease: A Narrative Review of Risk Factors, Clinical Outcomes and Treatment. Current Cardiology Reports 2024, 26: 505-520. PMID: 38743352, DOI: 10.1007/s11886-024-02063-0.Peer-Reviewed Original ResearchGlobal burdenIncreased riskPolyvascular diseaseIncreased risk of bleedingIncreased risk of adverse outcomesRisk factorsVascular territoriesLow-dose anticoagulationLevels of atherogenic lipoproteinsRisk of adverse outcomesAssociated with increased riskLipid-lowering therapyRisk of bleedingAdverse cardiac eventsType 2 diabetes mellitusHigh-risk subgroupsDose of therapyReview of risk factorsReduce disease progressionPresence of atherosclerosisOptimal timingP2Y12 inhibitorsTreatment intensificationEscalating treatmentIschemic benefitF-12 | Endovascular versus surgical revascularization for patients with chronic limb threatening ischemia: A systematic review and meta-analysis of randomized controlled trials
Balakrishna A, Alla V, Aronow H, Secemsky E, Altin S, Jayasuriya S, Goldsweig A. F-12 | Endovascular versus surgical revascularization for patients with chronic limb threatening ischemia: A systematic review and meta-analysis of randomized controlled trials. Journal Of The Society For Cardiovascular Angiography & Interventions 2024, 3: 101821. DOI: 10.1016/j.jscai.2024.101821.Peer-Reviewed Original ResearchImpact of anemia on outcomes and resource utilization in patients with myocardial infarction: A national database analysis
Jhand A, Abusnina W, Tak H, Ahmed A, Ismayl M, Altin S, Sherwood M, Alexander J, Rao S, Abbott J, Carson J, Goldsweig A. Impact of anemia on outcomes and resource utilization in patients with myocardial infarction: A national database analysis. International Journal Of Cardiology 2024, 408: 132111. PMID: 38697401, DOI: 10.1016/j.ijcard.2024.132111.Peer-Reviewed Original ResearchLength of stayNational Inpatient SampleMyocardial infarctionDiagnosis codesAnemic patientsAdverse eventsPatients admitted with MIAssociated with higher in-hospital mortalityAssociated with high mortalityAssociated with increased mortalityNational database analysisHigher in-hospital mortalityAssociation of anemiaHigher mortalityImpact of anemiaIn-hospital adverse eventsPrimary diagnosis codeSecondary diagnosis codesLonger length of stayMultivariate logistic regressionIn-hospital mortalityIn-hospital outcomesMI hospitalizationConcomitant anemiaBlood transfusionSAFETY AND EFFICACY OF ENDOVASCULAR TREATMENT MODALITIES FOR BELOW-THE-KNEE PERIPHERAL ARTERIAL DISEASE: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS
Tirziu D, Saleh A, Huang H, Akhlaghi N, Breen T, Parikh S, Rosenfield K, Armstrong E, Geraghty P, Brodmann M, Adams G, Snyder D, Zilinyi R, Altin S, Parise H, Lansky A. SAFETY AND EFFICACY OF ENDOVASCULAR TREATMENT MODALITIES FOR BELOW-THE-KNEE PERIPHERAL ARTERIAL DISEASE: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS. Journal Of The American College Of Cardiology 2024, 83: 843. DOI: 10.1016/s0735-1097(24)02833-x.Peer-Reviewed Original ResearchDuration of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention in Patients With Type 2 Diabetes Mellitus: A Systematic Review and Network Meta-analysis
Park D, Hu J, Campbell G, Goldwag K, Kelsey M, Altin S, Gallegos-Kattán C, Nanna M. Duration of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention in Patients With Type 2 Diabetes Mellitus: A Systematic Review and Network Meta-analysis. Journal Of The Society For Cardiovascular Angiography & Interventions 2024, 3: 101859. PMID: 39131993, PMCID: PMC11307649, DOI: 10.1016/j.jscai.2024.101859.Peer-Reviewed Original ResearchMonths of DAPTDuration of dual antiplatelet therapyNet adverse clinical eventsType 2 diabetes mellitusDual antiplatelet therapyAcute coronary syndromeRandomized controlled trialsSensitivity analysis of trialsPercutaneous coronary interventionCoronary interventionNo significant differenceAntiplatelet therapyAnalysis of trialsCoronary syndromeControlled trialsMeta-analysis of patientsStent thrombosisMeta-analysisDAPT durationClinicians greater flexibilityStudy-level meta-analysisOptimal duration of dual antiplatelet therapyHigher risk of adverse eventsPostpercutaneous coronary interventionRisk of adverse eventsAddressing Barriers to Entry and Retention of Women in Interventional Vascular Specialties With Proposed Solutions: A Scientific Statement From the American Heart Association
Altin S, Kwong M, Hamburg N, Creager M, Banerjee S, Oladini L, Schneider M, Ruddy J, Council O. Addressing Barriers to Entry and Retention of Women in Interventional Vascular Specialties With Proposed Solutions: A Scientific Statement From the American Heart Association. Circulation 2024, 149: e986-e995. PMID: 38375663, DOI: 10.1161/cir.0000000000001210.Peer-Reviewed Original ResearchScientific statementMedical school graduatesAmerican Heart AssociationParity of womenAddress barriersPerceived barriersLength of trainingVascular specialtiesCore clerkshipsMedical schoolsVascular interventionsLifestyle considerationsEarly mentorshipHeart AssociationSchool graduatesInterventionWomenSpecialtyRadiation exposureTrainingBarriersWork cultureVascular fieldLifestyleAdvancement of womenSex-specific analysis of intravascular lithotripsy for peripheral artery disease from the Disrupt PAD III observational study
Nagpal S, Altin S, McGinigle K, Mangalmurti S, Adams G, Shammas N, Mehrle A, Soukas P, Bertolet B, Lansky A. Sex-specific analysis of intravascular lithotripsy for peripheral artery disease from the Disrupt PAD III observational study. European Journal Of Vascular And Endovascular Surgery 2024, 67: e22-e23. DOI: 10.1016/j.ejvs.2024.01.026.Peer-Reviewed Original ResearchHypertension Management in Peripheral Artery Disease: A Mini Review
Kharawala A, Nagraj S, Pargaonkar S, Seo J, Kokkinidis D, Altin S. Hypertension Management in Peripheral Artery Disease: A Mini Review. Current Hypertension Reviews 2024, 20: 1-9. PMID: 38083897, DOI: 10.2174/0115734021267004231122061712.Peer-Reviewed Original ResearchPeripheral artery diseaseAngiotensin receptor blockersHypertension managementArtery diseaseAmerican Heart Association/American CollegeDevelopment of PADLower extremity peripheral artery diseaseConcomitant peripheral artery diseaseLower blood pressure levelsBlood pressure targetsGuideline-directed therapyUse of angiotensinLarge randomized trialsBlood pressure levelsTreatment of hypertensionMajor risk factorComplex patient populationWorse health outcomesPost Hoc AnalysisAntihypertensive medicationsHypertensive patientsReceptor blockersPressure targetsRandomized trialsAdequate therapy
2023
Digital Tools for Decision-Making in Coronary Artery Disease
Grubman D, Grubman S, See C, Breen T, Hu J, Altin S. Digital Tools for Decision-Making in Coronary Artery Disease. Current Treatment Options In Cardiovascular Medicine 2023, 25: 737-752. DOI: 10.1007/s11936-023-01022-2.Peer-Reviewed Original ResearchCoronary artery diseaseAcute coronary syndromePercutaneous coronary interventionArtery diseaseRisk stratificationDiagnosis of patientsCoronary syndromeCoronary interventionPoint of carePrimary preventionElectrocardiographic patternCatheterization labClinical uptakeRisk estimation modelCliniciansDiseaseSummaryThe developmentPatientsSyndromeStratificationDiagnosisTriageBiomarkersDigital aidsCareAnatomic patterns in claudicants who fail supervised exercise therapy
Breen T, McGinigle K, Strosberg D, Dardik A, Altin S. Anatomic patterns in claudicants who fail supervised exercise therapy. Journal Of Vascular Surgery 2023, 79: 679-684.e1. PMID: 37984757, DOI: 10.1016/j.jvs.2023.11.020.Peer-Reviewed Original ResearchCritical limb-threatening ischemiaSupervised exercise therapyPeripheral arterial diseaseIntermittent claudicationCFA diseaseExercise therapyArterial diseaseAnatomic patternsCommon femoral artery diseaseFemoral artery diseaseAnkle-brachial indexLimb-threatening ischemiaSubset of patientsVeterans Health AdministrationPersistent symptomsProgressive diseaseProgressive symptomsArtery diseaseDisease locationPatientsWest HavenHealth AdministrationMultivariate analysisRevascularizationDiseaseSex-specific analysis of intravascular lithotripsy for peripheral artery disease from the Disrupt PAD III observational study
Nagpal S, Altin S, McGinigle K, Mangalmurti S, Adams G, Shammas N, Mehrle A, Soukas P, Bertolet B, Lansky A. Sex-specific analysis of intravascular lithotripsy for peripheral artery disease from the Disrupt PAD III observational study. Journal Of Vascular Surgery 2023, 79: 358-365. PMID: 37925039, DOI: 10.1016/j.jvs.2023.10.058.Peer-Reviewed Original ResearchPeripheral artery diseaseLower extremity peripheral artery diseaseIntravascular lithotripsyResidual stenosisArtery diseaseAcute safetyObservational studyLow ankle-brachial indexUse of IVLChronic limb-threatening ischemiaFinal residual stenosisPeripheral intravascular lithotripsySevere lesion calcificationAnkle-brachial indexLimb-threatening ischemiaReference vessel sizeAbrupt vessel closureHigh complication rateRates of diabetesFisher's exact testSex-specific analysesAngiographic complicationsAtherectomy useIVL treatmentEfficacy outcomesPersistent Sex Differences After Percutaneous Coronary Intervention: What Are We Missing?
Altin S, Sohal S. Persistent Sex Differences After Percutaneous Coronary Intervention: What Are We Missing? The American Journal Of Cardiology 2023, 208: 205-207. PMID: 37863706, DOI: 10.1016/j.amjcard.2023.09.034.Peer-Reviewed Original ResearchBalancing Bleeding and Ischemia After Percutaneous Coronary Intervention: Differential Antiplatelet Outcomes in an East Asian Population
Altin S, Sohal S. Balancing Bleeding and Ischemia After Percutaneous Coronary Intervention: Differential Antiplatelet Outcomes in an East Asian Population. The American Journal Of Cardiology 2023, 208: 210-211. PMID: 37863705, DOI: 10.1016/j.amjcard.2023.09.051.Peer-Reviewed Original ResearchIntra-Aortic Balloon Pump Exacerbates Left Ventricular Outflow Tract Obstruction in a Patient With Takotsubo and Hypertrophic Cardiomyopathy
Griffin M, Odanovic N, McNamara R, Altin S, Balan S, Thompson J, Young L. Intra-Aortic Balloon Pump Exacerbates Left Ventricular Outflow Tract Obstruction in a Patient With Takotsubo and Hypertrophic Cardiomyopathy. Case 2023, 7: 502-507. PMID: 38197115, PMCID: PMC10772928, DOI: 10.1016/j.case.2023.07.003.Peer-Reviewed Original ResearchReply Long-Term Patient Outcomes After Femoropopliteal Peripheral Vascular Intervention in Patients With Intermittent Claudication
Altin S, Curtis J. Reply Long-Term Patient Outcomes After Femoropopliteal Peripheral Vascular Intervention in Patients With Intermittent Claudication. JACC Cardiovascular Interventions 2023, 16: 2336. PMID: 37758390, DOI: 10.1016/j.jcin.2023.08.027.Peer-Reviewed Original Research