BACKGROUND In Poland, together with the transformation of the political system, significant positive changes have been made to the national health care system. This provided a possibility for hospitals to apply current standards of care to patients with acute coronary syndromes (ACS). AIM To assess contemporary data on epidemiology, management and outcomes of patients with ACS in Poland, and ...

Background:Diabetic patients with Non ST Elevated Myocardial Infarction (NSTEMI) are at high risk for subsequent cardiovascular events. But, early Percutaneous Coronary Intervention (PCI) in group of NSTEMI significantly prove the primary outcomes.

Acute coronary syndrome (ACS) is the umbrella term for the clinical signs and symptoms of myocardial ischemia: unstable angina, non-ST-segment elevation myocardial infarction, and ST-segment elevation myocardial infarction. This article further defines ACS and the conditions it includes; reviews its risk factors; describes its pathophysiology and associated signs and symptoms; discusses variati...

Pivotal trials on antithrombotic regimens in coronary artery disease have been performed with huge patient cohorts; in CURE, 12 562 patients were randomized, TRITON-TIMI 38 included 13 608 patients, and PLATO 18 624 patients. Such databases provide an extraordinary opportunity to study a treatment effect in several subgroups of patients which—although subsets—still consist of thousands of patie...

Background The impact of ECG presentations acute myocardial infarction (AMI) in cardiogenic shock is unknown. Research Question In with shock, there a difference the outcomes and effect revascularization strategies between non-ST-segment elevation (NSTEMI) left bundle branch block (LBBBMI) vs ST-segment (STEMI)? Study Design Methods Cardiogenic patients from CULPRIT-SHOCK trial NSTEMI or LBBBMI...

Acute coronary syndromes (ACS) comprise a spectrum of clinical conditions, initiated by rupture of an atherosclerotic coronary plaque with overlying acute thrombosis. The consequences of thrombosis include direct obstruction of blood flow to the coronary beds, as well as distal embolization of the platelet-rich thrombus. Both of these processes may lead to myocardial ischemia and may progress t...

OBJECTIVES To describe the risk profile, management and one-year outcomes of patients hospitalized with acute coronary syndrome (ACS) in the Gulf region of the Middle East. SUBJECTS AND METHODS The Gulf locals with acute coronary syndrome events (Gulf COAST) registry is a prospective, multinational, longitudinal, observational, cohort-based registry of consecutive citizens, from the Gulf regi...

BACKGROUND Cardiogenic shock is a deadly complication of an acute myocardial infarction (MI). We sought to characterize differences in patient features, treatments, and outcomes of cardiogenic shock by MI classification: ST-segment-elevation MI (STEMI) versus non-ST-segment elevation MI (NSTEMI). METHODS AND RESULTS We compared differences in care by the shock status of 235 541 patients with ...

Objective To investigate the relationship between CRP, plasminogen activator inhibitor type 1 (PAI-1) levels, PAI-1 gene promoter 4G/5G polymorphism and the type of acute myocardial infarction (ST elevation myocardial infarction, STEMI vs the non-ST elevation Myocardial infarction, NSTEMI). Methods One hundred seventy-six consecutive patients with AMI were included for the study, of whom 60 had...

BACKGROUND The use of fractional flow reserve in patients with non-ST-segment-elevation myocardial infarction (NSTEMI) is a controversial issue. We undertook a study to assess the vasodilatory capacity of the coronary microcirculation in patients with NSTEMI when compared with a model of preserved microcirculation (stable angina [SA] cohort: culprit and nonculprit vessel) and acute microcircula...