2024
Myocardial 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 reviewImpact 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 transfusion
2023
Pulmonary Artery Catheter Use and Outcomes in Patients With ST-Elevation Myocardial Infarction and Cardiogenic Shock Treated With Impella (a Nationwide Analysis from the United States)
Ismayl M, Hussain Y, Aboeata A, Walters R, Naidu S, Messenger J, Basir M, Rao S, Goldsweig A, Altin S. Pulmonary Artery Catheter Use and Outcomes in Patients With ST-Elevation Myocardial Infarction and Cardiogenic Shock Treated With Impella (a Nationwide Analysis from the United States). The American Journal Of Cardiology 2023, 203: 304-314. PMID: 37517125, DOI: 10.1016/j.amjcard.2023.06.117.Peer-Reviewed Original ResearchConceptsST-elevation myocardial infarctionCardiogenic shockCatheter useHospital mortalityPA catheterCatheter placementInpatient costsMyocardial infarctionPulmonary artery catheter placementPulmonary artery catheter useNational Inpatient Sample databaseMultivariate logistic regression analysisPA catheter placementUse of ImpellaSimilar complication ratesMechanical circulatory supportLength of stayLogistic regression analysisHospital complicationsHospital lengthBaseline characteristicsComplication rateHematologic complicationsMortality benefitSecondary outcomes
2022
Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis
Ahsan M, Ahmad S, Latif A, Lateef N, Ahsan M, Abusnina W, Nathan S, Altin S, Kolte D, Messenger J, Tannenbaum M, Goldsweig A. Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis. European Heart Journal - Quality Of Care And Clinical Outcomes 2022, 8: 640-650. PMID: 35460230, PMCID: PMC9442849, DOI: 10.1093/ehjqcco/qcac018.Peer-Reviewed Original ResearchConceptsST-elevation myocardial infarctionPercutaneous coronary interventionAccess site bleedingCardiogenic shockTransfemoral accessTransradial accessTIMI3 flowSite bleedingCoronary interventionProcedural successContrast volumeYear mortalityMyocardial infarctionRisk ratioSystematic reviewProcedural success rateConfidence intervalsCoronary flow gradeRandom-effects modelFlow gradeTransfemoral approachRetrospective studyLower mortalityBleedingMortalitySex disparities in in-hospital outcomes of left ventricular aneurysm complicating acute myocardial infarction: A United States nationwide analysis
Pajjuru V, Thandra A, Walters R, Papudesi B, Aboeata A, Vallabhajosyula S, Altin S, Sutton N, Alla V, Goldsweig A. Sex disparities in in-hospital outcomes of left ventricular aneurysm complicating acute myocardial infarction: A United States nationwide analysis. American Heart Journal Plus Cardiology Research And Practice 2022, 13: 100104. PMID: 38560084, PMCID: PMC10978193, DOI: 10.1016/j.ahjo.2022.100104.Peer-Reviewed Original ResearchAcute myocardial infarctionNational Inpatient SampleHospital mortalityLV aneurysmHospital outcomesMyocardial infarctionLeft ventricularHigh incidenceSex disparitiesLarge population-based cohort studyPopulation-based cohort studyGuideline-directed therapyInter-hospital transferPercutaneous coronary interventionLength of stayBackground Previous studiesBaseline characteristicsBypass surgeryCohort studyCoronary atherectomyCoronary interventionAneurysm surgeryVentricular aneurysmInpatient SampleNationwide analysis
2021
Sex Differences in Intracoronary Imaging and Functional Evaluation of Coronary Arteries
Velagapudi P, Altin S, Schneider M, Alasnag M. Sex Differences in Intracoronary Imaging and Functional Evaluation of Coronary Arteries. Current Cardiovascular Imaging Reports 2021, 14: 7. DOI: 10.1007/s12410-021-09557-3.Peer-Reviewed Original ResearchIntracoronary imagingArtery diseaseCoronary arteryNon-obstructive coronary artery diseaseSpontaneous coronary artery dissectionFunctional evaluationChronic coronary syndromeCoronary artery dissectionCoronary artery diseaseConventional coronary angiographyRecent FindingsThe diagnosisTreatment of womenOptical coherence tomographySex differencesSex-based differencesArtery dissectionCoronary syndromeMicrovascular dysfunctionCoronary angiographyMicrovascular functionClinical outcomesHyperemic responsePlaque characteristicsMyocardial infarctionBroad pathologyOutcomes of mechanical circulatory support for acute myocardial infarction complicated by cardiogenic shock
Kim Y, Shapero K, Ahn SS, Goldsweig AM, Desai N, Altin SE. Outcomes of mechanical circulatory support for acute myocardial infarction complicated by cardiogenic shock. Catheterization And Cardiovascular Interventions 2021, 99: 658-663. PMID: 34156755, PMCID: PMC10877703, DOI: 10.1002/ccd.29834.Peer-Reviewed Original ResearchConceptsIntra-aortic balloon pumpMechanical circulatory supportAcute kidney injuryNational Inpatient SampleHospital mortalityAcute myocardial infarctionCardiogenic shockKidney injuryCirculatory supportMyocardial infarctionNational Cardiovascular Data RegistryPropensity scoreEfficacy of ImpellaPremier Healthcare DatabaseRetrospective cohort studyHigher hospital costsLength of stayReal-world observational dataImpella useCohort studyImpella deviceBalloon pumpPrimary outcomeInpatient SampleRisk factors
2020
Utility of Intravascular Ultrasound in Peripheral Vascular Interventions: Systematic Review and Meta-Analysis
Sheikh AB, Anantha-Narayanan M, Smolderen KG, Jelani QU, Nagpal S, Schneider M, Llanos F, Ionescu C, Regan C, Attaran R, Altin SE, Mena-Hurtado C. Utility of Intravascular Ultrasound in Peripheral Vascular Interventions: Systematic Review and Meta-Analysis. Vascular And Endovascular Surgery 2020, 54: 413-422. PMID: 32338163, DOI: 10.1177/1538574420920998.Peer-Reviewed Original ResearchConceptsPeripheral vascular interventionsPeriprocedural adverse eventsVascular complicationsAdverse eventsIntravascular ultrasoundPrimary patencyCause mortalityTechnical successMyocardial infarctionObservational studyVascular interventionsEnd pointSimilar patency ratesSimilar primary patencyPrimary end pointRate of reinterventionSecondary end pointsPeripheral arterial diseaseImproved clinical outcomesIVUS groupAmputation rateArterial diseaseClinical outcomesPatency ratesLower risk