THREE-YEAR FOLLOW-UP OF PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION WHO RECEIVED ENDOTHELIAL PROGENITOR CELL CAPTURE STENT WHILE UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION

American College of Cardiology Congres

Association between smoking status and outcomes in myocardial infarction patients undergoing percutaneous coronary intervention

Smoking is one of the leading risk factors for cardiovascular diseases, including ischemic heart disease and hypertension. However, in acute myocardial infarction (AMI) patients, smoking has been associated with better clinical outcomes, a phenomenon termed the “smoker’s paradox.” Given the known detrimental effects of smoking on the cardiovascular system, it has been proposed that the beneficial effect of smoking on outcomes is due to age differences between smokers and non-smokers and is therefore a smoker’s pseudoparadox. The aim of this study was to evaluate the association between smoking status and clinical outcomes in ST-segment elevation (STEMI) and non-STEMI (NSTEMI) patients treated by percutaneous coronary intervention (PCI), using a national multi-ethnic Asian registry. In unadjusted analyses, current smokers had better clinical outcomes following STEMI and NSTEMI. However, after adjusting for age, the protective effect of smoking was lost, confirming a smoker’s pseudoparadox. Interestingly, although current smokers had increased risk for recurrent MI within 1 year after PCI in both STEMI and NSTEMI patients, there was no increase in mortality. In summary, we confirm the existence of a smoker’s pseudoparadox in a multi-ethnic Asian cohort of STEMI and NSTEMI patients and report increased risk of recurrent MI, but not mortality, in smokers

Complete fracture of an Ikari guiding catheter in the axillary artery during transradial coronary intervention

Complete fracture of a guiding catheter during percutaneous coronary intervention is an exceedingly rare but potentially serious complication. The present case report describes the complete fracture of an Ikari guiding catheter and the various manoeuvres used to retrieve the broken catheter fragment. The anatomy and limited space in the radial and axillary arteries made it possible for the catheter to twist on itself during a difficult cannulation, resulting in its complete fracture and separation. The present case highlights the need for caution in the manipulation of an Ikari guiding catheter by the transradial approach

Acute occlusion of the left anterior descending artery following intravascular ultrasound examination of left main coronary artery

10.1016/j.ijcard.2006.07.226International Journal of Cardiology1203407-40

Catheter-Based Left Ventricular Assist Device for the Management of Cardiogenic Shock Complicating Acute Myocardial Infarction: A First-in-Singapore Experience

10.47102/annals-acadmedsg.202061ANNALS ACADEMY OF MEDICINE SINGAPORE499707-71

Discordant limb-lead and precordial-lead QRS voltages in inferior myocardial infarction

Asian Cardiovascular and Thoracic Annals62129-131ACTA

Impact of different Asian ethnic groups on correlation between heparin dose, activated clotting time and complications in percutaneous coronary intervention

International Journal of Cardiology1303500-50