Silent Embolic Cerebral Infarction After Coronary Angiography and Percutaneous Coronary Interventions: Detection of a Silent Cardiac Catheterization Complication
(Source: Angiology)
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Ziakas, A., Petroglou, D. Tags: Editorials Source Type: research

Multiple Coronary Artery Interventions
(Source: Angiology)
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Whayne, T. F. Tags: Editorials Source Type: research

Critical Issues That Need to Be Addressed to Improve Outcomes for Patients With Carotid Stenosis
Significant improvement in outcomes for patients with carotid stenosis requires liberation from the historic fixation with randomization and a procedurally based, late-stage, reactive approach to medical care. We require a multipronged and multidisciplinary approach that includes all of the following: (i) removal of overreliance on, and biased use of, randomized trial data; (ii) using accurate ways to rank evidence quality and relevance; (iii) improved research reporting standards; (iv) building quality assurance and other research capability into routine practice; (v) producing evidence-true rather than evidence-based gui...
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Abbott, A. Tags: Reviews Source Type: research

Definition of Best Medical Treatment in Asymptomatic and Symptomatic Carotid Artery Stenosis
Implementation of best medical treatment (BMT) is the cornerstone of the management of patients with either asymptomatic or symptomatic carotid artery stenosis. We review the literature to define the components of BMT. Smoking cessation, maintaining a healthy body weight, moderate exercise, and a Mediterranean diet are essential lifestyle measures. Moderate alcohol consumption may also be beneficial but recommending it to patients may be hazardous if they consume too much. The importance of lifestyle measures is largely underestimated by both physicians and patients. Blood pressure and diabetes control, antiplatelet agents...
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Paraskevas, K. I., Mikhailidis, D. P., Veith, F. J., Spence, J. D. Tags: Reviews Source Type: research

Issues to Be Addressed and Hopefully Resolved in the Carotid Revascularization Endarterectomy Versus Stenting Trial 2
This article highlights the purpose of the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) 2 and discusses the issues that CREST-2 will hopefully provide answers to. (Source: Angiology)
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Moore, W. S. Tags: Reviews Source Type: research

Critical Issues and Controversies in the Management of Patients With Carotid Artery Stenosis
(Source: Angiology)
Source: Angiology - April 11, 2016 Category: Cardiology Authors: Paraskevas, K. I., Mikhailidis, D. P., Veith, F. J. Tags: Editorial Source Type: research

Takotsubo Cardiomyopathy and Viral Myopericarditis: An Association Which Should be Considered in the Differential Diagnosis
(Source: Angiology)
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Khalid, N., Chhabra, L. Tags: Letter Source Type: research

Facing Morbid Obesity: How to Approach It
Obesity is a major public health problem, with a prevalence of 10% to 20% in Western Europe. Morbid obesity, characterized by body mass index >40 kg/m2, showed an increased prevalence in the last 30 years. Obesity is associated with reduced economic and social opportunities, reduced quality of life, and is a determinant of several "intermediate risk factors," leading to an increased mortality and a loss in life expectancy. The rising prevalence of morbid obesity increased the demand for bariatric surgery, also called "metabolic surgery": after these interventions, there is a decrease in metabolic comorbidities, cardiova...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Ricci, M. A., De Vuono, S., Scavizzi, M., Gentili, A., Lupattelli, G. Tags: Obesity Source Type: research

Increased Glycated Hemoglobin Level is Associated With SYNTAX Score II in Patients With Type 2 Diabetes Mellitus
SYNTAX score II (SS II) uses 2 anatomical and 6 clinical variables for the prediction of mortality after coronary artery bypass graft and percutaneous coronary intervention. The aim of this study was to investigate the relationship between glycated hemoglobin (HbA1c), fasting blood glucose (FBG), postprandial glucose (PPG), and SYNTAX Score (SS) and SS II in patients with type 2 diabetes mellitus and coronary artery disease (CAD). We enrolled 215 consecutive diabetic patients with stable angina pectoris who underwent coronary angiography. The SS II was calculated using a nomogram that was based on the findings of a previou...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Karakoyun, S., Gökdeniz, T., Gürsoy, M. O., Rencüzogulları, I., Karabag, Y., Altıntas, B., Topcu, S., Lazoglu, Z., Tanboga, I. H., Sevimli, S. Tags: Diabetes Source Type: research

Pulse Pressure Amplification and Arterial Stiffness in Low-Risk, Uncomplicated Pregnancies
Conclusion: The PPA increased steadily after the second trimester and was sharply decreased postpartum in low-risk, uncomplicated pregnancy. Longer and larger longitudinal studies will evaluate changes in PPA and its potential as a marker of CV risk later in women’s life. (Source: Angiology)
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Gomez, Y., Hudda, Z., Mahdi, N., Hausvater, A., Opatrny, L., El-Messidi, A., Gagnon, R., Daskalopoulou, S. S. Tags: Arterial Stiffness Source Type: research

Effect of CPAP on New Endothelial Dysfunction Marker, Endocan, in People With Obstructive Sleep Apnea
In this study, we tested whether serum endocan is a biomarker for OSA. Serum endocan levels were measured at baseline in 40 patients with OSA and 40 healthy controls and after 3 months of continuous positive airway pressure (CPAP) treatment in the patients with OSA. All participants were evaluated by full polysomnography. Flow-mediated dilatation (FMD) and carotid intima media thickness (cIMT) were measured in all participants. Endocan levels were significantly higher in patients with OSA than in healthy controls. After adjusting confounders, endocan was a good predictor of OSA. Endocan levels correlated with OSA severity ...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Altintas, N., Mutlu, L. C., Akkoyun, D. C., Aydin, M., Bilir, B., Yilmaz, A., Malhotra, A. Tags: Obstructive Sleep Apnea Source Type: research

Does Inflammation Have a Role in the Pathogenesis of Cardiac Syndrome X? A Genetic-Based Clinical Study With Assessment of Multiple Cytokine Levels
This study included 111 consecutive patients angiographically diagnosed with CSX and 111 healthy controls with similar demographic characteristics. Serum interleukin (IL) 6, tumor necrosis factor α (TNF-α), and IL-10 levels were measured, and the genotypes of the patients and controls were determined using standard methods. Serum IL-6 and IL-10 levels were significantly higher in the CSX group than in the control group (P < .01, respectively). Serum TNF-α level was lower in the CSX group than in the control group (P < .001). On the other hand, participants with CSX and healthy controls were not sign...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Demir, B., Önal, B., Özyazgan, S., Kandaz, C., Uzun, H., Acıksarı, G., Uygun, T., Opan, S., Karakaya, O., Akkan, A. G. Tags: Inflammation Source Type: research

Association of the Derived Neutrophil-Lymphocyte Ratio With Critical Limb Ischemia
Neutrophil and leukocyte counts are laboratory parameters that reflect the systemic inflammatory response in patients with atherosclerotic diseases. Based on the means of these parameters, the derived neutrophil–lymphocyte ratio (dNLR) can be calculated. We investigated a possible association of critical limb ischemia (CLI) and the dNLR in patients with peripheral arterial disease (PAD). We performed a retrospective data analysis including 1995 patients with PAD treated at our department in the years 2005 to 2010. The cohort was divided into tertiles according to dNLR. Higher dNLR values were associated with an incre...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Belaj, K., Pichler, M., Hackl, G., Rief, P., Eller, P., Hafner, F., Brodmann, M., Gary, T. Tags: Peripheral Arterial Disease Source Type: research

Screening for Peripheral Arterial Disease and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm
This study assessed the prevalence of carotid artery disease (CAD) and peripheral arterial disease (PAD) in patients with known abdominal aortic aneurysms (AAAs). All patients with AAA attending the vascular laboratory between the January 1, 2007, and December 31, 2009, were eligible for a carotid ultrasound and measurement of ankle brachial indices. A total of 389 (305 males) patients were identified on the AAA surveillance program with a mean (±standard deviation) age of 76 (±8) years. The mean age of the males was 75.4 (±7.8) years, and the mean age of the females was 77 (±11) years. A total ...
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Gray, C., Goodman, P., Cullen, P., Badger, S. A., O'Malley, K., O'Donohoe, M. K., McDonnell, C. O. Tags: Peripheral Arterial Disease Source Type: research

Platelet to Lymphocyte Ratio as a Prognostic Marker of In-Hospital and Long-Term Major Adverse Cardiovascular Events in ST-Segment Elevation Myocardial Infarction
In conclusion, the PLR may be a marker of inflammatory and prothrombotic status and predicted in-hospital and long-term MACE in a population with STEMI. (Source: Angiology)
Source: Angiology - February 24, 2016 Category: Cardiology Authors: Ozcan Cetin, E. H., Cetin, M. S., Aras, D., Topaloglu, S., Temizhan, A., Kisacik, H. L., Aydogdu, S. Tags: Coronary Artery Disease Source Type: research